For more than four decades, CoreSource has crafted integrated, flexible, and tailored employer health plan designs that seamlessly meet specific business needs and delight members. We treat clients as long-term partners – that’s why our average client relationship lasts over 10 years.
Each of our offices around the country is managed locally, by industry veterans who understand the dynamics of the markets they serve. Our responsive and empathetic service teams provide the highest level of support for employers and members. Our local expertise and service is backed by national strength. As an independently operating subsidiary of Trustmark Companies, CoreSource has the support of an A-category rated mutual insurance company.
CoreSource is seeking an ELIGIBILITY ANALYST for our West Region that will work out of our West Des Moines, Iowa office. The ELIGIBILITY ANALYST is responsible for providing quality service by timely and accurately entering and/or modifying eligibility data in CoreSource systems according to established procedure and client requirements. This position is also responsible for responding to telephonic, written and electronic inquiries (PMC/web inquires) from employees/members, clients, brokers and co-workers.
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KEY ACCOUNTABILITIES:
- Based upon the client’s requirements and methods of eligibility submission, review, interpret, enter, process and/or audit enrollments, terminations and eligibility change requests in a timely and accurate manner utilizing any CoreSource system, e.g. PowerSTEPP, Real Time Eligibility/portal, WCW reports.
- Review and resolve eligibility error and audit reports.
- Maintain assigned eligibility WorkQueues according to CoreSource procedure and turnaround time expectations.
- Work with senior eligibility analyst to resolve electronic eligibility and Real Time Eligibility issues.
- Request ID Cards.
- Process requests for proof of coverage.
- Audit Dependent Eligibility, when required.
- Respond to telephonic, written and electronic inquiries from clients/brokers, employees/members, and co-workers regarding eligibility, DEA and ID Card related issues.
- Treat all inquiries professionally and respectfully following CoreSource guidelines
- Appropriately refer or escalate calls based on customer service procedures and guidelines.
- Research inquiries and respond appropriately.
- Follow-up regularly on outstanding issues to ensure timely resolution and client satisfaction.
- Thoroughly and accurately document all inquiries using PowerSTEPP and Family Files following CoreSource guidelines.
- Other duties as needed/assigned.
QUALIFICATIONS:
- High School diploma or GED equivalent
- 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
- Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
- Previous experience with benefit enrollment or eligibility preferred
ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO
RACE, RELIGION, COLOR, NATIONAL ORIGIN, SEX, AGE, OR DISABILITY
Required Skills
Required Experience