Process Associate

Infosys•Tempe, AZ

About The Position

Medicaid Enrollment Specialist Process Associate In the role of process associate, you will execute transactions as per prescribed guidelines and timelines, review and validate 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. Responsibilities may include, but are not limited to: 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. Location for this position is Tempe, AZ.

Requirements

High School Diploma or GED Equivalent
0-6 months of experience in the job description
Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise).
The job entails sitting as well as working at a computer for extended periods of time.
Should be able to communicate by telephone, email, or face to face.

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; 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.