Eligibility Coordinator- Remote

NTT DATA North America; Arizona; On-site; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Job summary

NTT DATA Services is seeking an Eligibility Coordinator to join our Medicare PCP Enrollment Validation Team. You will perform multi-system research, provider updates, and outreach to obtain Verification of Chronic Condition while maintaining quality metrics in a fast-paced setting.

The role requires 1-2 years of experience with members/providers, a basic healthcare background, and proficiency in Outlook, Excel, and Word. Remote work options and comprehensive benefits are available.

Qualifications

• 1-2 years of experience working with members and/or providers.
• Basic healthcare background.
• Previous knowledge of provider networks.
• Outbound call experience.
• Proficient in Outlook, MS Excel and Word.
• Excellent communication skills.
• Experience working in a team setting.

Responsibilities

• Perform multi-system research and provider updates for PCP/CSNP processes.
• Validate providers and align to Medicare members.
• Outreach to obtain Verification of Chronic Condition.
• Meet demands of a high-paced environment with tight turnaround times.
• Collaborate with teammates and other departments as needed.

Skills

Member experience

Healthcare knowledge

Outbound calls

Education

High School Diploma, GED or Equivalent

Tools

Outlook

MS Excel

MS Word

Job description

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.

For more than 25 years,NTT DATA Serviceshave focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA Services currently seeks a “Eligibility Coordinator” to join our team.

Role Responsibilities

We are looking for a detail oriented individual to join Medicare PCP Enrollment Validation Team. Plan Sponsor Service Consultants (PSSC) support PCP and CSNP processes. PSSC's are required to perform multi-system research, make outbound calls and process provider updates for new and existing members. Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition. The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics. Our team is member centric and strives to provide excellent customer service to our members. The PSSC will work collectively with teammates, leadership and other departments as needed in their role.

Required Skills/Experience

• 1-2 years of experience working with members and/or providers.
• Basic healthcare background.
• Previous knowledge of provider networks.
• Outbound call experience.
• Candidate must be proficient in Outlook, MS Excel and Word.
• Excellent Communication Skills.
• Experience working in a team setting

Education

• High School Diploma, GED or Equivalent

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($19.00/hourly ). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

About NTT DATA Services:

NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA Services 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.