HC & INSURANCE OPERATIONS SENIOR ASSOC

3 - 7 years

0 Lacs

Posted:1 month ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As an HC & Insurance Operations Senior Associate at NTT DATA, your role involves assisting client partners with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB. Your responsibilities include: - Overseeing the data integrity of member enrollment records and remittance files transmitted from the state. - Providing timely and efficient support for the eligibility load process, coordinating with different departments to resolve any arising issues. - Conducting research to correct errors in membership and primary care physician data output. - Generating internal reports and analysis as required. - Entering daily eligibility data including new enrollees, changes, and cancellations. - Researching information on members/subscribers to resolve problems and disputes. - Maintaining quality and production standards in alignment with client partners, state regulations, and department policies & procedures. - Completing volumes in queue within the specified turnaround time. Required Skills: - Ability to work scheduled shifts from Sunday - Saturday 5 PM IST time to 8 AM IST (5 days working). - University degree or equivalent with 3+ years of formal studies. - Working from the office with no transport facility (own transport required). - Ability to work effectively in a team environment. - Good logical thinking ability. - Proficient in English comprehension/written skills with exposure to MS Office. - Excellent communication skills both verbal and written. - Ability to interact with clients preferred. Please note that the schedule availability for this position is Sunday - Saturday 5 PM IST time to 8 AM IST. The shift timings can be adjusted as per client requirements, and overtime, holiday working, and weekend working may be necessary based on business needs.,

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