Membership Eligibility Processor I, II, or III, DOE

Join our team dedicated to creating a person-focused and economically sustainable healthcare system. We're seeking passionate individuals to join our team, where every day, our mission is to make healthcare easier and lives better. As a member of our Membership team, you'll play a vital role in ensuring accurate subscriber and member-level eligibility, supporting our members' health journeys. What We're Looking For:
If you have a passion for serving others and enjoy learning new things, this role may be perfect for you. What You Bring to the Role:
Qualifications: High school diploma or GED
Membership Eligibility Processor I: Six months of data entry experience with a demonstrated ability to meet or exceed accuracy and production standards.
Membership Eligibility Processor II: One year of experience as a Membership Eligibility Processor I with a demonstrated ability to meet or exceed accuracy and production standards, or an equivalent combination of education and job-related work experience.
Skills and Attributes: Typing speed of 40 words per minute.
Proficiency in 10-key by touch.
Detail-oriented and self-motivated.
Dependable with strong attendance record.
Ability to exercise judgment, initiative, and discretion in a confidential and sensitive manner.
Excellent communication and interpersonal skills.
Proficiency in PC operations, including Word, Excel, and Outlook or similar software.
Familiarity with medical terminology for WSHIP health questionnaire processors.
What You'll Do: Review, enter, and maintain changes on enrollment applications.
Apply eligibility rules and calculate appropriate waiting period credit, eligibility data, and benefits.
Meet deadlines and state requirements for timeliness.
Incorporate changes in policies and procedures to ensure compliance.
Provide customer service to internal and external customers.
Assist less experienced staff as needed.
Attend and participate in training and meetings.
Benefits: Competitive salary based on experience and geographic location.
Comprehensive benefits package including 401(k) matching, dental insurance, health insurance, paid time off, parental leave, and more.
Opportunities for career growth and development.
Flexible work from home options available.
Why Join the Team? Collaborate with diverse teams on cutting-edge solutions in healthcare.
Enjoy competitive compensation and generous benefits.
Grow your career with a supportive company.
Give back to your community through supported outreach programs.
Connect with colleagues through employee resource groups.
Equal Opportunity Employer:
We are an Equal Opportunity and Affirmative Action employer committed to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other protected status. Accommodations:
If you require accommodation for any part of the application process due to a medical condition or disability, please email [HR Email Address]. Privacy Policy:
Information about how we collect, use, and disclose information is available in our Privacy Policy.
Employment Type: Full-Time
Salary: $ 17.00 24.00 Per Hour