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Eligibility Representative II

Remote, USA Full-time Posted 2025-04-26

Thrive in a culture of innovation and teamwork. We're hiring a Eligibility Representative II! An immediate start is available for this Remote-based position, which places you at the center of innovation. This position requires a strong and diverse skillset in relevant areas to drive success. The compensation for this role is benchmarked at a competitive salary.

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you?ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Processes and maintains eligibility information for routine individual and/or employer... groups under general supervision.
? Maintains accurate eligibility records for individuals and/or assigned employer groups. Process all enrollments; plan changes, and disenrollment transactions.
? Reviews aging to determine delinquent accounts, membership reconciliation issues from premium issues. Produces and distributes delinquent notices to members.
? Provides daily support on incoming verbal or written correspondence enrollees regarding eligibility and processing status.
? Communicates policies, procedures and benefits to employees, enrolled members or, if applicable, employers. Interacts with staff in other departments to clarify and resolve eligibility problems presented by members.
? Provides cross training and back-up assistance to other enrollment groups.
? Provides support within service operations as needed such as Membership Accounting.
Education/Experience: High School diploma or equivalent required. Two years general office work experience with attention to detail. One year previous experience in an HMO insurance or medical setting preferred.Pay Range: $15.29 - $26.20 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law Apply Job!

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Join Our Team!

This is a fantastic opportunity to grow your career. If you have the skills and passion we're looking for, please submit your application today.

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