Technical Eligibility Analyst

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If you’re detail-driven and enjoy helping people get the right coverage at the right time, this Technical Eligibility Analyst opportunity could be a great fit. In this role, you’ll keep membership/eligibility information accurate and up to date, support questions from members and clients, and help ensure changes are processed correctly and on schedule.

Key Responsibilities / What You’ll Do

• Review, interpret, enter, and audit eligibility enrollments, terminations, and changes
• Resolve eligibility errors, discrepancies, and audit findings
• Maintain organized records and trackers for enrollment activity
• Coordinate updates with third-party administrators/vendors as needed
• Support ID card requests and proof-of-coverage requests
• Assist with eligibility-related reporting and testing of file loads/updates
• Respond to phone, email, and written eligibility inquiries; document and follow up through resolution
• Support COBRA continuation paperwork and ongoing eligibility maintenance (per required timelines)
• Perform other related duties as assigned

Qualifications / What We’re Looking For

• High school diploma or GED
• Eligibility experience (at least 6 months; 1+ year preferred)
• Strong data entry skills and high attention to detail
• Professional communication skills and customer-service mindset
• Comfortable in a fast-paced, production-driven environment
• Reliable high-speed internet and a HIPAA-compliant, secure workspace (able to work distraction-free)
• Microsoft Office skills (Teams, Outlook, Excel, Word, OneNote); EDI/834 experience is a plus

Why Join the Team?
You’ll be part of a collaborative team doing important, accuracy-focused work that directly impacts members’ access to benefits.

Job Details

• Job Type: Temp-to-Hire (W2), Hourly, Non-Exempt
• Pay / Salary: $22–$23/hour
• Hours / Schedule: Full-Time (37.5 hours/week)
• Location: Remote (must be located in Pennsylvania

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