Credentialing and Enrollment Coordinator
FoodsmartSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must possess a high school diploma or equivalent, and less than one year of work experience is required. They should demonstrate working knowledge of problem-solving and decision-making skills. A strong understanding of healthcare regulations, policies, and industry standards related to paper-based eligibility operations is also necessary.
Responsibilities
The Eligibility Consultant will handle physical documents and paper records to verify patient or member eligibility for healthcare services, reviewing paper forms and applications to gather and validate information. They will organize paper-based eligibility documents through filing systems, perform manual data entry, ensure compliance with regulations, identify opportunities to improve efficiency, generate reports, and analyze data related to eligibility operations. Additionally, the role involves providing customer service and issue resolution, as well as following feedback and participating in performance reviews.
Skills
Insurance verification
Authorization processing
Revenue cycle management
Compliance
Documentation handling
Manual data entry
Customer service
Issue resolution
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Key Metrics
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees