Eligibility Representative

NTT DATA | Dallas, TX | US
Req ID: 315727 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. We are currently seeking a Eligibility Representative to join our team in Dallas, Texas (US-TX), United States (US). ENROLLMENT & BILLING - GRADE 3 HC & INSURANCE OPERATIONS SENIOR REP. Position Overview: 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 companys 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. NTT DATA Services currently seeks a "HC & INSURANCE OPERATIONS SENIOR REP." to join our team in "US Location - Permanent Remote." Position General Duties: Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB. Role Responsibilities:
  • 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.
Required Skills:
  • 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.
**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. About NTT DATA NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If youd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

Information :

  • Company : NTT DATA
  • Position : Eligibility Representative
  • Location : Dallas, TX
  • Country : US
Next Process

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Post Date : 2025-03-07 | Expired Date : 2025-04-06

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