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NTT DATA Services

Eligibility Associate, Remote

Posted 5 hours ago
2-5 years experience
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AI Summary

Maintain the accuracy of member enrollment records and state remittance files, enter daily eligibility changes, and research membership or primary care physician data issues. Coordinate with other departments to resolve eligibility processing problems, produce reports and analysis, and meet client, regulatory, quality, and turnaround-time standards.

Req ID: 387724 

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Eligibility Associate, Remote to join our team in DALLAS, Texas (US-TX), United States (US).

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.

 

 

 

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

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