Administrative Services Specialist-Eligibility

at  NTT Data

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company’s growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

POSITION SUMMARY:

The Administrative Services Specialist reports to the Administrative Services Supervisor. This position maintains updated enrollment and benefit information for all self-insured employer groups.

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

• High School Education Required.
• Previous experience working in the insurance or benefits management field.

PHYSICAL AND MENTAL ABILITIES:

• Ability to perform sedentary work for extended periods of time.
• Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.
• The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.

• Answer telephone inquiries from insured members, employers, providers, etc., regarding enrollment and prescription issues.
• Process EDI Member Maintenance on a daily basis.
• Oversee the process of benefit additions, changes and deletions in the GBAS system within 24 hours of receipt.
• Manage the process of benefit additions, changes and deletions in the GBAS system.
• Oversee the process of prescription drug benefits additions, changes and deletions with Pharmacy Benefit Managers.
• Coordinate the printing and mailing of health ID cards to insured members.
• Provide COBRA administration for self-insured groups who request the service.
• Respond to HIPAA certificate requests.
• Run eligibility reports as needed.
• Participate in audits as needed.
• Notify management of overtime needs by completing appropriate forms.
• Perform other duties as assigned.