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Enrollment & Eligibility Specialist
$54k-66k (estimate)
Full Time 3 Weeks Ago
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NTT DATA Americas, Inc is Hiring a Remote Enrollment & Eligibility Specialist

Job Details

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 is seeking remote Eligibility representatives to assist 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.
Preferred Skills:
  • Healthcare background (insurance, TPA, HMO, etc.)
  • Data enrollment experience demonstrated
  • Eligibility data entry performed in past job responsibilities
  • Worked in quality and production environment from a queue
**Schedule availability for this position is Sunday - Saturday, 7am to 8pm EST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime, holidays and weekend working as per business requirement.

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at .

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Job Summary

JOB TYPE

Full Time

SALARY

$54k-66k (estimate)

POST DATE

06/02/2024

EXPIRATION DATE

06/20/2024

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