Eligibility Consultant

CVS Health

Eligibility Consultant verifying patient eligibility for healthcare services and maintaining accurate records. Managing documents and ensuring compliance with healthcare regulations in a supportive team environment.

Posted 5/14/2026full-timeRemote • Arizona • 🇺🇸 United StatesJunior💰 $17 - $28 per hourWebsite

About the role

Key responsibilities & impact

Handle physical documents and paper records to verify the eligibility of patients or members for healthcare services.
Review paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria.
Organize paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information.
Analyze the paper-based information and documentation to determine the eligibility of patients or members for healthcare services.
Perform manual data entry tasks to input eligibility information into relevant systems or databases.
Ensure compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations in order to maintain patient confidentiality.
Identify opportunities to enhance the efficiency and accuracy of paper-based eligibility operations.
Follow regular, timely feedback, as well as the formal performance review process, to ensure delivery of exceptional services and engagement, motivation, and personal development.
Generate reports and analyze data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making.

Requirements

What you’ll need

1+ year of experience with data entry
Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook)
Must reside in Phoenix, Arizona.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data entrydocument verificationinformation analysisreport generationeligibility determination

Soft Skills

organizational skillsattention to detailproblem-solvingcommunication skillstime management