Eligibility Associate, Remote

NTT America, Inc.; Dallas (TX); Remote; USD 52,000 - 75,000; Full time

Job summary

NTT DATA Services seeks an HC & INSURANCE OPERATIONS SENIOR REP to support Enrollment & Billing (EMB) back-office activities for Medicaid LOB. The position is US Location – Permanent Remote, requiring data integrity oversight and timely eligibility support across departments.

Responsibilities include correcting membership data, generating reports, and ensuring adherence to client standards and regulatory policies while handling daily enrollment entries and research tasks as needed.

Qualifications

• Good English comprehension and written skills; exposure to MS Office.
• Good logical thinking.
• Ability to work in a team environment.
• Good communication skills – verbal and written.
• Ability to interact with clients preferred.

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 departments to resolve issues.
• 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.

Skills

Teamwork

MS Office

English comprehension

Communication skills

Client interaction

Job description

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.

• 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 7amEST 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.

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