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In these roles you will be responsible for:
Key membership elections and enrollment applications into ikaMedicareGateway system
Update demographics and other membership information from paper correspondence and telephone call documentation
Make outbound calls to health plan members to clarify missing or incomplete information
Maintain current knowledge of CMS compliance requirements as they pertain to Medicare Advantage enrollment and member maintenance.
Research incomplete and missing information by utilizing several internal systems such as PRISM, MARx, ikaMedicareGateway and Content Manager.
Update member demographics and track members through the Out of Area Process.
Identify complex or out of compliance cases for escalation.
Process returned mail. Research address information. Make outbound calls to members to obtain correct address.
Perform quality check of pending membership correspondence for completeness and accuracy
Requirements for this role include:
High school diploma or equivalent required -1+ year applicable health insurance experience
Prior experience with Microsoft Word and Excel
Work in a team environment and demonstrate strong attention to detail.
Demonstrate strong verbal and written communication skills.
Demonstrate professionalism with peers, subordinates, superiors and customers.
Demonstrate strong analytical abilities.
Manage time and prioritize effectively;
Demonstrate an ability to cope with a complex and changing environment.
**Required schedule availability for this position is Monday-Friday 8:00 AM to 4:30 PM CST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
NTT DATA Services is a leading IT services provider and global innovation partner with 130,000 professionals based in over 50 countries. NTT DATA recently acquired Dell Services. NTT DATA Services emphasizes long-term commitment and combines global reach and local intimacy to provide premier professional services, including consulting, application services, business process, IT outsourcing, and cloud-based solutions. We are a part of NTT Group, one of the world's largest technology services companies, generating more than $100 billion in annual revenues and partner to 80% of the Fortune 100. Visit www.nttdataservices.com to learn how our consultants, projects, managed services, and outsourcing engagements deliver value for a wide range of businesses and government agencies.
The Company is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.
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