Job Description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

This position includes a variety of technical tasks that support the Eligibility Department. The responsibilities of a Technical Eligibility Analyst may vary depending upon the needs of the Department and may include loading Triple E files and manual eligibility updates.

In addition to these tasks, the Technical Eligibility Analyst is responsible for all of the same tasks as an Eligibility Analyst, including providing quality service by timely and accurately entering and/or modifying eligibility data in Luminare Health systems according to established procedure and client requirements. This position is also responsible for responding to telephone, written and electronic inquiries from employees/members, clients and co-workers.

Required Job Qualifications:

• High School diploma or GED equivalent
• Minimum three years Eligibility experience
• Ability to work in a fast-paced, customer service and production driven environment
• Exceptional data entry skills with high attention to detail
• Excellent verbal and written communication skills
• Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Management staff all levels of staff
• Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
• Flexible; open to continued process improvement
• Self-directed individual who works well with minimal supervision
• Good leadership, organizational and interpersonal skills
• Demonstrated critical thinking skills
• Ability to effectively deal with problems in varying situations and reach resolution
• Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:

• Bachelor’s degree
• >1 year Eligibility experience
• Prior EDI experience (ANSI 834s)
• Prior experience in a medical office or provider billing environment
• Self-Funded Insurance/Benefits and/or TPA experience
• Prior experience with COBRA, FMLA, LOA and retiree administration/coordination experience.
• Knowledgeable in handling various types of Federal, State and Company leave programs.
• Customer service experience in a professional setting
• Prior PowerStepp or other AS400 system experience
• Knowledge of COBRA laws, HIPAA portability and eligibility laws

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:

$18.07 - $33.92

Exact compensation may vary based on skills, experience, and location.