Advanced Eligibility Consultant

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience. At CVS Health, you'll be surrounded by colleagues who care deeply, innovate with purpose, and prioritize safety and quality in everything they do.

The Advanced Eligibility Consultant is responsible for handling complex and high-value clients, resolving complex issues, and translating direction into actionable items with minimal supervision. This role involves coaching and mentoring junior staff, developing training plans, coordinating daily objectives, identifying process improvements, and functioning as an escalation point before manager/director involvement.

Key responsibilities include:

• Establishing and maintaining processes for billing, claims processing, insurance verification, revenue cycle management, compliance, and customer service
• Reconciling and solving issues to ensure accurate billing, smooth revenue flow, and satisfactory customer experiences

Required Qualifications:

• 2+ years of experience in eligibility, particularly in commercial health insurance, with proficiency in processing accurate and timely policy and eligibility data
• Must reside in Lansing, MI or Plymouth, MN
• Ability to work a hybrid schedule (3 days in the office per week)

Preferred Qualifications:

• Ability to manage multiple tasks and priorities
• Understands intent and end-state, operating with minimal guidance
• Team player capable of working independently
• Ability to provide accurate and timely results
• Experience as a Senior Eligibility Consultant or Senior Eligibility Analyst
• Bachelor's degree

Salary Range: $43,888.00 - $93,574.00 per year

Benefits: This full-time position is eligible for a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.