Eligibility Coordinator- Remote

Summary

NTT DATA is a provider of IT and business services, including cloud, data, applications, and business process outsourcing. The Eligibility Coordinator will support the Medicare PCP Enrollment Validation Team by conducting provider validation, member alignment, multi-system research, outbound outreach, and provider updates while maintaining quality and customer service standards.

Responsibilities

• We are looking for a detail oriented individual to join Medicare PCP Enrollment Validation Team. Plan Sponsor Service Consultants (PSSC) support PCP and CSNP processes.  PSSC's are required to perform multi-system research, make outbound calls and process provider updates for new and existing members.  Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition.  The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics. Our team is member centric and strives to provide excellent customer service to our members. The PSSC will work collectively with teammates, leadership and other departments as needed in their role

Skills

• 1-2 years of experience working with members and/or providers
• Basic healthcare background
• Previous knowledge of provider networks
• Outbound call experience
• Candidate must be proficient in Outlook, MS Excel and Word
• Excellent Communication Skills
• Experience working in a team setting
• High School Diploma, GED or Equivalent

Qualifications

Must Haves

• 1-2 years of experience working with members and/or providers
• Basic healthcare background
• Previous knowledge of provider networks
• Outbound call experience
• Candidate must be proficient in Outlook, MS Excel and Word
• Excellent Communication Skills
• Experience working in a team setting
• High School Diploma, GED or Equivalent

Benefits

• Medical, dental, and vision insurance may be included, depending on the nature of the role offered.
• Flexible spending or health savings account may be included, depending on the nature of the role offered.
• Life and AD&D insurance may be included, depending on the nature of the role offered.
• Short- and long-term disability coverage may be included, depending on the nature of the role offered.
• Paid time off may be included, depending on the nature of the role offered.
• Employee assistance may be included, depending on the nature of the role offered.
• Participation in a 401k program with company match may be included, depending on the nature of the role offered.
• Additional voluntary or legally required benefits may be included, depending on the nature of the role offered.