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TEMP BPO Senior Representative at NTT DATA
Dallas, Texas, United States -
Full Time

Start Date

Immediate

Expiry Date

02 Feb, 26

Salary

0.0

Posted On

04 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Data Integrity, Enrollment, Billing, Research, Problem Solving, Quality Assurance, Production Standards, Eligibility Processing, Membership Data, Primary Care Physician Data, Report Generation, Coordination, Timely Support, Error Correction, Dispute Resolution, Turnaround Time

Industry

IT Services and IT Consulting

Description
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 department to resolve issues that arise during the process. Provide research to correct errors in membership and primary care physician data output. Generate internal reports and analysis as needed. Enters daily eligibility data: New enrollees, changes, and cancellations. Research information on members/subscribers to resolve problems and disputes. Maintains quality and production standards as outlined by client partners, state regulations and department policies & procedures. Completion of 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). Schedule availability for this position is Sunday - Saturday 7am EST time to 8pm EST . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime, holiday working and weekend working as per business requirement.
Responsibilities
Assist with Enrollment & Billing Back Office activities for Medicaid. Oversee data integrity of member enrollment records and provide timely support for the eligibility load process.