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Eligibility Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Customer Service

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Contract Type:
Not provided

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Salary:

17.00 - 34.15 USD / Hour

Job Description:

Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data.

Job Responsibility:

  • Verifies enrollment status
  • Makes changes to member/client records
  • Addresses enrollment questions or concerns
  • Maintains enrollment databases
  • Coordinates transfer of non-electronic eligibility data
  • Responds, researches, and resolves eligibility and/or billing related issues
  • Monitors daily status reports
  • Applies technical requirements, legislative/regulatory policies, account structure and benefit parameters
  • Validates benefit plan enrollment information
  • Coordinates distribution of membership ID cards
  • Completes screen coding and data entry requirements
  • Reviews and corrects transaction errors
  • Interprets and translates client benefits
  • Determines and communicates standard service charges
  • Partners with other team functions

Requirements:

  • Working knowledge of problem solving and decision making skills
  • Ability to work between 9:00am and 6:00pm EST
  • High School Diploma

Nice to have:

  • Attention to detail and accuracy
  • Problem solving skills
  • Strong organization skills
  • Understands the impact of work to other teams and downstream support areas
  • Ability to analyze and research data to make appropriate corrections as necessary
  • Strong verbal and written communication skills
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation programs
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
August 22, 2025

Expiration:
August 28, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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