Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB. Oversee data integrity of member enrollment records and remittance files transmitted from the state.
Provide timely, efficient support for the eligibility load process while coordinating with different departments to resolve issues that arise during the process.
Research to correct errors in membership and primary care physician data output.
Generate internal reports and analysis as needed.
Enter daily eligibility data: New enrollees, changes, and cancellations.
Research information on members/subscribers to resolve problems and disputes.
Maintain quality and production standards as outlined by client partners, state regulations, and department policies & procedures.
Complete volumes in queue within specified turnaround time.
Ability to work regularly scheduled shifts from Sunday - Saturday 7am EST time to 8pm EST (40 hours/ 5 days working).
Ability to work in a team environment.
Good logical thinking ability.
Good English comprehension/written skills, with exposure to MS Office.
Good communication skills - both verbal and written.