Benefit Eligibility Coordinator
Personify Health · Tempe, AZ · 3 wk ago
Human Resources$19–$21/hrFull-time
About the role
As a Fully Insured Benefit Eligibility Coordinator, you are the day-to-day point of contact for clients and brokers, ensuring that enrollment records are accurate across multiple carriers and associations.Responsibilities
- Own eligibility records for the life of every client: Enter and maintain enrollment data across multiple carriers and associations, keeping system records accurate from onboarding through termination.
- Serve as the front line for clients and brokers: Act as the main point of contact for day-to-day eligibility requests — new hire enrollments, plan and benefit changes, dependent additions, and member terminations.
- Apply complex carrier, group, and legislative guidelines: Process every transaction against rules that vary widely across this line of business, so each member is enrolled correctly and in compliance.
- Resolve discrepancies before they become problems: Investigate issues flagged by clients or vendors and reconcile records so eligibility data stays accurate and aligned everywhere it lives.
- Validate and report on enrollment data: Use reporting tools to analyze, evaluate, and confirm eligibility, catching errors that could disrupt coverage or billing before they reach a member.
- Support carrier audits: Pull and verify the data carriers need during audit requests, protecting data integrity and the trust clients place in us.
- Partner with internal teams: Research and respond to eligibility inquiries from Account Management, Member Services, and Finance so the whole organization works from one source of truth.
- Cook up eligibility processing: Work directly with group contacts, brokers, carriers, and members to keep eligibility processing moving without delays.
Requirements
- High school diploma or general education degree (GED)
- 1+ year of customer service experience
- Background in benefits, insurance, or healthcare eligibility a plus
Qualifications
- Proficient in Microsoft Excel
- Experience with reporting and data tools used to analyze and validate records
- Working knowledge of eligibility, enrollment, or benefits administration processes
Skills
- Proficient in Microsoft Excel
Benefits
- Competitive base salary and benefits effective day one
- Comprehensive medical and dental through our own health solutions (yes, we use what we build)
- Paid Time Off—rest and recharge time is non-negotiable
- Mental health support, retirement planning, and financial protection
- Professional development with clear career progression and learning budgets
- Mission-driven culture where diverse perspectives drive real impact on people's health