Eligibility Associate, Remote

NTT DATA Services•Dallas, TX
•Remote

About The Position

NTT DATA is seeking an Eligibility Associate to support Centene’s Enrollment & Billing back-office activities for the Medicaid line of business. The role focuses on processing and maintaining eligibility and enrollment information, supporting the eligibility load process, resolving data issues, and meeting client, regulatory, and departmental quality and productivity standards. The position is described as permanent remote, with work location listed as Dallas, Texas. The schedule is 40 hours over five working days, with availability required within Sunday through Saturday, 7 a.m. to 8 p.m. Eastern Time. Shift times may change based on client requirements, and overtime, holiday, and weekend work may be required based on business needs.

Requirements

  • Ability to work 40 hours over five days on a regularly scheduled shift within Sunday through Saturday, 7 a.m. to 8 p.m. Eastern Time.
  • Ability to work in a team environment.
  • Good logical thinking ability.
  • Good English comprehension and written skills.
  • Exposure to Microsoft Office.
  • Good verbal and written communication skills.

Nice To Haves

  • Ability to interact with clients.

Responsibilities

  • Oversee the data integrity of member enrollment records and remittance files transmitted from the state.
  • Provide timely and efficient support for the eligibility load process and coordinate with other departments to resolve issues.
  • Research and correct errors in membership and primary care physician data output.
  • Generate internal reports and analyses as needed.
  • Enter daily eligibility data, including new enrollees, changes, and cancellations.
  • Research member and subscriber information to resolve problems and disputes.
  • Maintain quality and production standards set by client partners, state regulations, and department policies and procedures.
  • Complete queued volumes within specified turnaround times.
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