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Technical Eligibility Analyst
Health Care Service Corporation. Support the Eligibility Department through technical tasks .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in eligibility processes and data management, with a strong focus on accuracy and attention to detail. Proficient in customer service and communication, effectively engaging with diverse stakeholders while adapting to various systems and processes.
Highest-signal resume keywords
Eligibility ExperienceData Entry SkillsCustomer ServiceMS ExcelCritical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Eligibility Data ManagementManual Eligibility UpdatesData EntryProcess ImprovementProblem Solving
Soft Skills
Communication SkillsInterpersonal SkillsOrganizational SkillsLeadership SkillsSelf-Directed
Tools & Technologies
Luminare Health SystemsMS Word
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Client ManagementFast-Paced EnvironmentProduction Driven Environment
About the role
Key responsibilities & impact- Support the Eligibility Department through technical tasks
- Load Triple E files
- Perform manual eligibility updates
- Enter and/or modify eligibility data in Luminare Health systems according to established procedures and client requirements
- Provide timely and accurate service
- Respond to telephone, written, and electronic inquiries from employees/members, clients, and co-workers
Requirements
What you’ll need- High School diploma or GED equivalent
- Minimum three years Eligibility experience
- Ability to work in a fast-paced, customer service and production driven environment
- Exceptional data entry skills with high attention to detail
- Excellent verbal and written communication skills
- Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Management staff all levels of staff
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Flexible; open to continued process improvement
- Self-directed individual who works well with minimal supervision
- Good leadership, organizational and interpersonal skills
- Demonstrated critical thinking skills
- Ability to effectively deal with problems in varying situations and reach resolution
- Ability to learn new/proprietary systems, adapt to various system platforms, and effectively use MS Excel/Word
- Bachelor’s degree (preferred)
- Previous leadership experience (preferred)
Benefits
Comp & perks- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan subject to the terms and conditions of the plan