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Eligibility Analyst - Hybrid

Company: Trustmark
Location: West Des Moines
Posted on: November 26, 2022

Job Description:

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, you will be part of an organization committed to offering custom self-funded health benefits plans that manage costs - without compromising benefits - by offering innovative solutions, flexibility, transparency, and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration, and service to our communities.

At Health Benefits, we value our diverse team and we're looking for new hires that want to learn and grow their careers with us! We're seeking an Entry Level Eligibility Analyst for our West Des Moines, IA location. You will receive training to give you the knowledge and tools to be successful in your new role. Please note, you will work in the West Des Moines location during the training period. After the training period, you will be eligible to work from home in a hybrid capacity of 2 days in the office and 3 days from home. The work schedule is 8:00 am - 4:30 pm CST, Mon-Fri.

**Responsibilities Include:**

+ Review, interpret, enter, process and/or audit enrollments, terminations and eligibility change requests in a timely and accurate manner utilizing any Health Benefits system.

+ Review and resolve eligibility error and audit reports.

+ Work with support team to resolve electronic eligibility issues.

+ Request ID Cards and distribute as required.

+ Process requests for proof of coverage.

+ Audit Dependent Eligibility, when required.

+ Maintain assigned eligibility Work Queues according to Health Benefits procedure and turnaround time expectations.

+ Respond to telephone, email, electronic inquiries or faxes from clients/brokers, employees/members, and co-workers regarding eligibility, and ID Card related issues.

+ Work with support team to Appropriately refer or escalate calls based on customer service procedures and guidelines.

+ Research inquiries and follow-up regularly on outstanding issues to ensure timely resolution and client satisfaction.

+ Thoroughly and accurately document all inquiries following Health Benefits guidelines.

+ Other duties as needed/assigned.

**Qualifications include:**

+ High School diploma or GED equivalent

+ Minimum 1-2 years of Eligibility and/or benefits experience

+ Ability to work in a fast-paced, customer service and production driven environment

+ Exceptional data entry skills with high attention to detail

+ Effective verbal and written communication skills

+ Ability to work effectively with team members, employees/members, providers, and clients

+ Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form

+ Flexible; open to continued process improvement with the ability to prioritize and adapt to business needs

+ Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

Come join Health Benefits! Join a team that will not only utilize your current skills but will enhance them as well.

_All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability._

Required Skills

Required Experience

Keywords: Trustmark, West Des Moines , Eligibility Analyst - Hybrid, Professions , West Des Moines, Iowa

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