Eligibility Analyst

Do you have strong technical and data management skills, a collaborative spirit, and want to feel like a valued team member? If so, join our eligibility department at WellNet Healthcare, a national health services company committed to helping our clients build better and smarter self-funded health plans. We are a passionate, growth-oriented community dedicated to doing whatever it takes to lower the cost of healthcare, benefiting both companies and their employees.

Help us achieve our mission and vision as an Eligibility Analyst! In this essential role, you will be responsible for working with a set of employer groups to conduct membership reconciliations, assist with new client implementations, and manage the day-to-day enrollment updates. You’ll be an integral part of our clients’ seamless insurance experience.

• You have a background in processing enrollment requests via portals and electronic file transmissions.
• You are highly adept at resolving member and group eligibility inquiries.
• You are confident in your ability to appropriately escalate issues to management and/or service partners and handle the issues until successfully resolved.
• You are experienced in and capable of prioritizing and managing your workload to meet strict deadlines.
• You can provide examples of how you’ve demonstrated attention to detail and taken personal accountability.
• You gain satisfaction from supporting member eligibility maintenance, including enrollments, terminations, all changes/updates, etc.
• You are eager to work with external vendors to ensure that eligibility is synchronized between the client and our partners.

• Have experience as an enrollment/eligibility representative with an insurance carrier or third-party administrator.
• Possess excellent customer service skills; you are a great communicator with both internal and external entities.
• Can exhibit strong technical skills, including Microsoft Office aptitude, particularly Excel.
• Work just as well independently as you do on a team.
• Can demonstrate strong organizational, problem-solving, and time management skills.
• Consider yourself to be collaborative and confident in presenting ideas to improve processes.
• Are quality conscious.
• Have a knack for troubleshooting.
• Have values that align with ours: optimism, respect, growth, accountability, adaptability, and building long-term relationships.

• Competitive salary and full benefits package including medical, dental, vision, 401k, generous PTO, and a host of voluntary benefits.
• A friendly, vibrant environment focused on continuing learning and development.
• Bright, open, modern office space designed for meaningful interaction.
• Casual dress code.
• Hybrid work schedule.
• The opportunity to continue to grow and shape your career with a leader in the industry.

https://wellnet.com/about-us/

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Located in Feasterville-Trevose, PA, 19053

Please send an email to [email protected] and include a letter of interest and resume.