Elig & Enrollment Specialist
Corpus Christi - Ayers Building, United States
USD 39K-54K (estimate) Mid-level Full Time
Tasks
- Analyze newborn data and reconcile claims
- Conduct data analysis of eligibility and enrollment trends
- Coordinate data discrepancies with DCH DHS
- Coordinate interdepartmental process improvements
- Correct enrollment and enrollment errors
- Correct pharmacy member issues
- Create coverage records
- Create pharmacy members
- Ensure compliance with HHSC requirements
- Ensure compliance with URAC standards
- Escalate eligibility matters to Maximus and HHSC
- Generate eligibility and enrollment reports
- Identify missing data and discrepancies
- Manage escalation resolution
- Monitor and meet eligibility and enrollment metrics
- Perform PCP assignment and updates
- Perform UAT testing and analysis
- Perform newborn enrollment tasks
- Receive enrollment information
- Reconcile enrollment and eligibility data
- Resolve CRM and enrollment issues
- Review and process enrollment submissions
- Support monthly weekly daily reporting
- Verify member eligibility status
Perks/Benefits
- N/A
Skills/Tech-stack
Data Analysis | Data Reconciliation | Data reporting | Enrollment concepts | Health insurance | Insurance eligibility | Managed care | Microsoft Excel | Microsoft Word | Quality Assurance | UAT testing
Education
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