Medicaid Enrollment Process Specialist

Infosys Limited; Tempe, Northern (AZ, KY); Hybrid; USD 42,000 - 68,000; Full time

Job summary

Infosys BPM Limited, a subsidiary of Infosys Limited, invites applications for a Medicaid Enrollment Specialist (Process Associate) on-site in Tempe, AZ. You will execute transactions per guidelines, validate inputs from team members, assist in training, and help ensure SLAs are met within policy norms.

Responsibilities include resolving eligibility exceptions, COB eligibility, newborn enrollment support, and coordination with State Agencies.

Qualifications

• High School Diploma or GED Equivalent.
• 0-6 months of experience in the job description.
• Excellent interpersonal and communication skills to deal effectively with all necessary levels within and outside the organization.
• Demonstrates analytical and innovative excellence for current state and future state challenges at both the strategic and tactical level.
• Strong organizational skills and superior attention to detail. Strong decision maker.
• Ability to review documents for accuracy, completeness, and compliance; compile data and information for reports; compose letters and memoranda.
• Ability to gather and research data (i.e., statutes, regulations, articles).

Responsibilities

• Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes: enrollment file errors, ID card generation errors, PCP assignments, and 834 enrollment files to vendor/third-party administrators.
• Process COB eligibility through proper application to ensure accurate information is represented in the company enrollment system
• Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/disenrollment activity, and Mass Member Moves.
• As needed, available to support special projects
• Assist in maintaining the integrity of eligibility tasks.
• External phone call with other health insurance to determine the primary payer.
• Prioritizes daily, weekly, and monthly job tasks to support regulatory requirements and service level agreements.
• Displays initiative to complete assigned tasks timely and accurately, and balances workload to assist peers and the Supervisor.
• Provides knowledgeable response to internal and external inquiries regarding eligibility, ID cards, selection of primary care provider, and state enrollment transactions.
• Reconciles eligibility with State Agencies using varied methods. Tracks and documents all transactions with State Agencies.

Skills

Interpersonal skills

Communication skills

Analytical thinking

Organizational skills

Attention to detail

Document review

Education

High School Diploma or GED

Job description

Infosys BPM Limited, a subsidiary of Infosys Limited, invites applications for a Medicaid Enrollment Specialist (Process Associate) on-site in Tempe, AZ. You will execute transactions per guidelines, validate inputs from team members, assist in training, and help ensure SLAs are met within policy norms.

Responsibilities include resolving eligibility exceptions, COB eligibility, newborn enrollment support, and coordination with State Agencies.