Health Plan Eligibility Associate

Education and Work Experience:

• High School Education/GED or equivalent: Preferred


• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions:

• Performs all aspects of health plan eligibility for employees, including, but not limited to: new enrollments, terminations and changes.


• Processes address changes and return mail for the eligibility team.


• Completes member matching for claims that came through unmatched.


• Provides information as needed for questions related to medical, dental, vision claims based upon the benefit descriptions, claims payments and processing and plan provisions.


• Provides excellent service to members and human resources employees via phone and email inquiries.


• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.


Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.