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Hours Full-time, Part-time
Location Phoenix, AZ
Phoenix, Arizona

About this job

Eligibility Specialist

Eligibility Specialist Job Description:

Under general supervision, the Eligibility Specialist is responsible for working with representatives from client organizations and Avesis Account Managers, Customer Service and Claims department, Finance and other staff regarding determination of member eligibility for Avesis vision, dental and hearing program services. The Specialist receives electronic and paper documentation of eligibility from client organizations and ensures that Avesis systems for claims and customer service are updated in an accurate and timely manner. Research member return mail and distribute to necessary Avesis clients or associated Account Management team for resolution. The Eligibility Specialist also uses company systems applications to receive, research, and resolve eligibility inquiries in accordance with defined procedures and protocols. Periodically, the Specialist may be required to assist with billing and documentation of such actions in the Avesis systems in individual accounts.

Eligibility Specialist Essential Job Functions:
Receive and process member eligibility, review for discrepancies, and update Avesis systems files as applicable
Research eligibility inquires, using web based applications, client web portals, data compare and updating into company membership database using current industry standards relative to HIPAA guidelines
Maintain enrollment spreadsheets for tracking and statistical purposes
Communicating clearly and effectively with representatives of contracted health plans and client organizations
Perform audits of group administration services relating to enrollment and eligibility records for commercial and government groups, process ID card requests, and perform other enrollment-related functions.
Contribute to team effort by accomplishing related results as needed
Other duties as assigned.

Interested applicants please apply or e-mail directly!




About Aerotek:

Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .

Aerotek is acting as an Employment Agency in relation to this vacancy.