Eligibility Specialist in Chicago, IL at APEX Systems

Date Posted: 9/11/2019

Job Snapshot

Job Description

Job #:  1007253
Position- Eligibility Specialist
Location- Downtown, Chicago IL
Duration- Long Term Contract; 6mos+
In your role as Eligibility Specialist you’ll work on a key process within our business model, researching data and maintaining accuracy in our member database. You’ll resolve eligibility inquiries, partnering with other cross-functional departments and communicating key information in a timely manner. Your efforts will help us increase efficiencies and scalability as Company adds new members, products, and technical functionality.

We’re looking for a true go-getter with exceptional MS Excel and communication skills and the professional maturity to work productively under tight deadlines. If you have an eye for detail and a natural drive for putting order to the world around you, we want to meet you! 

  • Perform comprehensive research in multiple systems to verify accurate member eligibility
  • Maintain accurate member eligibility status in our database
  • Work with clients and partners to verify insurance coverage for all members
  • Resolve eligibility inquiries and communicate outcomes to other departments while keeping to established timelines
  • Review and correct eligibility data in our records, ensuring accuracy
  • Resolve pending member registrations
  • Reconcile reports and maintain eligibility status records in Excel
  • Perform extensive data entry
  • Maintain knowledge of industry standards for insurance verification
  • Understand and adhere to HIPAA policies, procedures, and regulation, maintaining strict confidentiality
  • Participate in special projects and provide ad hoc analytical eligibility support as needed
  • Meet quality and performance standards for all eligibility projects

Candidate Profile
  • Advanced Excel skills, with the demonstrated ability to write formulas, perform VLOOK pivot tables, etc.
  • The ability to accurately calculate figures and reconcile accounts
  • Knowledge of EDI 270/271 transactions and insurance eligibility verification
  • Strong verbal, written and interpersonal skills, with an affinity for teamwork
  • Good organizational, multi-tasking and time management skills, with excellent attention to details
  • Comfort and success working in a fast-paced environment with tight deadlines
  • A strong work ethic, resourcefulness and the motivation to succeed
  • A proactive approach to identifying and resolving issues

A college degree or equivalent real-world experience in a related field
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178-6178.