Eligibility Representative I

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.
 

Shifts will be Monday - Friday working 8am - 5pm PST.

Position Purpose:
Processes and maintains eligibility information for routine individual and/or employer groups under direct supervision.

• Maintains accurate eligibility records for assigned line of business.
• Enters system eligibility data on a daily basis, including new enrollees, changes, and cancellations.
• Conducts periodic audits of group eligibility data.
• Reconciles group eligibility report to monthly statements.
• Responds to all written and telephone eligibility inquires from individuals or assigned employer groups.
• Researches information on subscribers to resolve problems and disputes.
• Maintains quality and production standards as outlined by the department.
• Assists with special projects.
• Performs other duties as assigned.
• Complies with all policies and standards

Education/Experience:
High School Diploma or equivalent required. One year general work experience required.

 

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act