Eligibility Representative


Baltimore, Maryland

a month ago


Similar Jobs
Eligibility Representative
Baltimore, Maryland

a month ago

Job Description

Job Title: Eligibility Representative
Duration: 3 Months
Location: Fully Remote
Shift Timings: Mon-Fri 8:30-5:00pm EST

  • Delivers basic technical, administrative, or operative eligibility tasks including Insurance verifications. 
  • Implements and maintains eligibility for benefits. 
  • Implements, updates, and maintains automated, direct connect and/or manual eligibility data by keying information into the system. 
  • Interacts with internal partners and/or external clients/vendors.
  • Analyzes data and reconciles eligibility for accuracy involving Coordination of Benefits (COB).
  • Researches and resolves problems. 
  • Escalates difficult issues. 
  • Understands simple instructions and procedures. 
  • Worker will need to be able to work independently.
  • Customer service experience.
  • Excellent Verbal / Written Communication Skills.
  • 3-5 years of Healthcare Insurance Background.
  • Medicare C Medical and Part D.
  • Inbound/Outbound Calls.
  • Medicare.
  • CMS, SQL.
  • High School Diploma and/or GED required. 2 years of college preferred.
Top 3 Skills: 
  • Analytical skills.
  • Customer Service Skills.
  • Quick Learner.
Notice to California Applicants: SPECTRAFORCE is committed to complying with the California Privacy Rights Act (“CPRA”) effective January 1, 2023; and all data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@spectraforce.com 

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $18.00/hr.