Eligibility Associate, Remote

NTT DATA, Inc.; Oregon; Hybrid; USD 35,000 - 52,000; Full time

Job summary

NTT DATA, Inc. is seeking an Eligibility Associate, Remote to support Enrollment & Billing (EMB) Back Office activities for Medicaid LOB, primarily from a US remote location.

The role involves ensuring data integrity, processing enrollments and changes, and coordinating with other departments. Key responsibilities include researching discrepancies, generating internal reports, and meeting defined turnaround times.

Qualifications

• Required ability to work Sundays through Saturdays 7am–8pm EST.
• Urgent need for teamwork and collaboration.
• Strong English comprehension, written skills, and MS Office exposure.

Responsibilities

• Oversee data integrity of enrollment records and remittance files.
• Provide timely support for eligibility load processes and coordinate with departments.
• Research to correct errors in member data and generate internal reports.
• Enter daily eligibility data for new enrollments, changes, and cancellations.
• Investigate member information to resolve problems and disputes.
• Maintain quality and production standards per client and policy.
• Complete volumes in queue within turnaround time.

Skills

Shift schedule EST

Team player

Logical thinking

English proficiency

MS Office familiarity

Client interaction

Job description

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

ENROLLMENT & BILLING - GRADE 3HC & 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

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.

Safety and Accessibility

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Equal Opportunity

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.