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Centene Corporation Eligibility Representative I in Rancho Cordova, California


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.

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

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.

TITLE: Eligibility Representative I

LOCATION: Rancho Cordova, California

REQNUMBER: 1185468

COMPANY: Health Insurance Operations