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

Start Date

Immediate

Expiry Date

17 Mar, 26

Salary

0.0

Posted On

17 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Data Integrity, Enrollment, Billing, Research, Problem Solving, Communication Skills, Teamwork, MS Office, Logical Thinking, Quality Standards, Production Standards, Membership Data, Primary Care Physician Data, Client Interaction, Dispute Resolution, Eligibility Load Process

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). Ability to work in a team environment. Good logical thinking ability. Good English Comprehension/written skills should have exposure to MS Office. Good Communication Skills - Both Verbal and Written. Ability to interact with clients preferred.
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.