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Eligibility Research Representative

7/3/2025

No location specified

Job Summary

A company is looking for an Eligibility Research Rep I to handle eligibility verification requests while maintaining high-quality customer service.

Key Responsibilities
  • Verify member eligibility through various resources and input verified information into the communications log
  • Process research efficiently to meet turnaround times and follow up with practitioners and members
  • Maintain confidentiality and ensure security measures are enforced while meeting production and accuracy standards
Required Qualifications
  • High School Diploma required
  • Minimum one year experience with 10-key, typing, and computer skills (8,000-10,000 keystrokes per hour)
  • Experience in claims processing or eligibility verification preferred
  • Ability to work from home with a stable internet connection
  • Experience in customer service, particularly with outbound calls

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