Senior Associate - Health Care and Insurance Operations

HC & Insurance Operations Senior Assoc.

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 5 PM IST time to 8 AM IST (5 days working).
• University degree or equivalent that required 3+ years of formal studies.
• Work from Office.
• No transport facility (Own transport).
• 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 5 PM IST time to 8 AM IST. 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.

 

 

 

Experience Level

Senior Level