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Eligibility Representative

Spectraforce Technologies
United States, North Carolina, Raleigh
500 West Peace Street (Show on map)
Aug 22, 2025

Position Title: Eligibility Representative

Work Location: Remote

Assignment Duration: 7+ Months

Position Summary:




  • Delivers straightforward administrative and/or other basic business services in Eligibility.




Key Responsibilities:




  • Implements, updates, and maintains automated, direct connect and/or manual eligibility data.



  • Interacts with internal partners.



  • Review reports to identify and resolve discrepancies.



  • Ensures customer data is resolve accurately and timely.



  • May work with internal Systems to resolve errors.




Qualification & Experience:




  • General knowledge of Medicare Advantage Enrollment and Eligibility.



  • Familiar with Medicare Part A, Part B and Part C.



  • Preferred Experience in Healthcare Insurance and Enrollment and Eligibility.



  • Prior Data Entry and enrollment experience highly preferred.



  • Proficient with Microsoft Office Suite Products.



  • Ability to work with minimal supervision.



  • Excellent verbal and written communication skills.



  • Strong Customer Service skills.



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