Eligibility Associate

ENROLLMENT & BILLING - GRADE 3

                                                         HC & INSURANCE OPERATIONS SENIOR REP.

Position Overview:

At NTT DATA, we know that with the right people on board, anything is possible.  The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence.  By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA Services currently seeks a “HC & INSURANCE OPERATIONS SENIOR REP.” to join our team in “US Location – Permanent Remote.”

Position General Duties:

Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB.

Role Responsibilities:

• Oversee data integrity of member enrollment records and remittance files transmitted from the state.
• Provide timely, efficient support for the eligibility load process while coordinating with different department to resolve issues that arise during the process.
• Provide research to correct errors in membership and primary care physician data output.
• Generate internal reports and analysis as needed.
• Enters daily eligibility data: New enrollees, changes, and cancellations.
• Research information on members/subscribers to resolve problems and disputes.
• Maintains quality and production standards as outlined by client partners, state regulations and department policies & procedures.
• Completion of volumes in queue within specified turnaround time.

Required Skills:

• Ability to work regularly scheduled shifts from Sunday -Saturday 7am EST time to 8pm EST (40 hours/ 5 days working).
• Ability to work in a team environment.
• Good logical thinking ability.
• Good English Comprehension/written skills should have exposure to MS Office.
• Good Communication Skills – Both Verbal and Written.
• Ability to interact with clients preferred.

  **Schedule availability for this position is Sunday - Saturday 7am EST time to 8pm EST . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime, holiday working and weekend working as per business requirement.