Eligibility Specialist

Overview Consociate Health is a leading Third-Party Administrator committed to making healthcare more accessible and affordable. Position Summary The Eligibility Specialist reports to the Director of Eligibility and maintains updated enrollment and benefit information for all self‑insured employer groups. Principal Duties And Responsibilities Answer telephone inquiries from insured members, employers, providers, etc., regarding enrollment and prescription issues. Process EDI Member Maintenance daily. Oversee benefit additions, changes and deletions in the GBAS system within 24 hours of receipt. Coordinate the printing and mailing of health ID cards to insured members. Provide COBRA administration for self‑insured groups who request the service. Respond to HIPAA certificate requests. Run eligibility reports as needed. Participate in audits as needed. Notify management of overtime needs by completing appropriate forms. Perform other duties as assigned. General Expectations Present a positive image of Consociate Health at all times. Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual. Communicate in a clear and concise manner, while also demonstrating receptivity through active listening. Identify and perform work that has not been specifically assigned, as needed. Adhere to established safety standards and utilize proper techniques to avoid work‑related injuries. Continuously seek opportunities for improvement and suggest ways in which procedures and systems may be modified to accomplish tasks efficiently and effectively. Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division. Attend required in‑service and staff meetings. Preserve the confidentiality of all business‑sensitive information. Required Experience High School Education Required. Previous experience working in the insurance or benefits management field. Benefits 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Paid training Vision insurance #J-18808-Ljbffr