Eligibility Specialist

Allied Benefit Systems
United States
Mar 03, 2024
ELIGIBILITY SPECIALIST POSITION SUMMARY This position is responsible for setup and day to day operations of Allied's eligibility services technology platforms. These technology platforms include the following: Allied's eligibility system of record, ID card program, PBM vendor setup, client web-based eligibility maintenance portal, and X12-834 electronic data interchange (EDI). The eligibility specialist coordinates data transfers, processes data inputs, and troubleshoots data issues. ESSENTIAL FUNCTIONS Configures new group setup in all applicable eligibility services technology platforms Processes changes, renewals, and open enrollment in all eligibility technology platforms Responsible for day-to-day eligibility operations and maintenance Reviews eligibility audit reports and processes member updates as required Responds to internal and external questions and requests Provides training and technical support for clients on Allied's web-based enrollment platform Maintains project plans and checklists for new client implementations and existing client changes Conducts quality assurance testing Deploys robust quality protocols and audits to ensure data integrity Troubleshoots and escalates issues with Allied's internal and external partners Performs additional tasks and duties as assigned Education Bachelor's degree preferred, or equivalent experience Experience & Skills 1-3 years prior benefits administration experience with a strong focus on benefits administration technology Proficient in Microsoft Office systems including Word, Excel, Outlook Proficient in Adobe Experience processing ID cards for benefits preferred Experience in vendor/client maintenance a plus Eligibility experience a plus Graphic design experience a plus Strong problem solving skills Communication Skills - excellent written and verbal POSITION COMPETENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is an office environment requiring extended sitting and computer work. WORK ENVIRONMENT Remote