Under the direct supervision of the Supervisor, the Eligibility Management Processor is responsible for accomplishing data entry tasks in accordance with the client’s quality requirements and specifications.
DUTIES AND RESPONSIBILITIES:
1. Handles and analyzes Eligibility Management processing of cases in accordance with the
client’s processes and specifications to meet the set targets and deliverables.
2. Ensures accuracy of encoded data such as but not limited to benefit enrollments (system &
benefit carrier), benefit terminations (system & benefit carrier), and processing changes on
customer’s benefit elections (system & benefit carrier) to maintain data integrity and quality.
3. Adheres to the channel’s standard operating procedures and work instructions to ensure work alignment across the channel.
4. Attends project orientation, job-related training, and/or other company-initiated training, when necessary, to continuously develop knowledge and skills.
5. Performs other requested tasks related to benefit processing to support the day-to-day operations of the business.