Medicaid Enrollment Specialist

Infosys • Phoenix, AZ

123d

About The Position

In the role of process associate, you will execute transactions as per prescribed guidelines and timelines, reviews and validates the inputs from the other team members, support your manager in training activities, daily operations reviews and help in escalation resolution with the objective to meet service level agreement targets for the specific process within the guidelines, policies and norms of Infosys.

Requirements

• High School Diploma or GED Equivalent.
• At least 1 year of related work experience.

Nice To Haves

• 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.
• Ability to gather and research data (i.e., statutes, regulations, articles).

Responsibilities

• Performs processes to resolve eligibility exceptions within the required State/Regulatory timeframes.
• Process COB eligibility through proper application to ensure accurate information is represented in company enrollment system.
• Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates.
• Available to support special projects as needed.
• Assist to maintain integrity of eligibility tasks.
• External phone call with other health insurances to determine 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 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 and tracks and documents all transactions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED