Job Description

**Medicaid Enrollment Process Specialist (remote)** **JOB PURPOSE** Enrollment examiners will review enrollment records, identify discrepancies, and reconcile member records per the enrollment guidelines to ensure data integrity is sound for all member records. **ESSENTIAL FUNCTIONS:** + Reviewing member records from an enrollment perspective, reviewing eligibility dates, plans, primary care provider information, and other pertinent information related to the enrollment of a member. + Comparing and reconciling all enrollment information to the 834 file and reconciling the record, making changes int eh system to ensure the correct information is present for each member. + Enrolling new or reinstated members into the system per request. + Reviewing and reconciling Third Party Liability records for member records. + Follows all team procedures, including HIPAA policies and procedures, and meets team quality, turnaround time and productivity performance standards and goals. + Maintaining internal customer relations by interacting with staff regarding enrollment issues and research, ensuring accurate and complete enrollment record information, contacting insured or other involved parties for additional or missing information. + Other duties as assigned **QUALIFICATIONS:** Education: High School diploma or GED required. Experience: + Minium one year of Medicaid and or Commerical enrollment processing experience. + Facets experience preferred Technical Competencies: + Ability to work remotely and independently + Strong attention to detail + Strong interpersonal, time management and organizational skills + Good oral/written communication and analytical skills + Must be able to work in a high-performance environment that changes often + Experience in navigating multiple systems using dual monitors + Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA and UB92 Codes, and standard of billing guidelines required. + FACETS experience preferred + Medicaid knowledge preferred + Keyboard skills of at least 35 WPM + 10-key + Proficient in Microsoft Office - Excel, Word, and Outlook Salary and Other Compensation: Applications will be accepted until May 2nd, 2025 The annual salary for this position is between $15.00 - $18.00 depending on the experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans. Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: - Medical/Dental/Vision/Life Insurance - Paid holidays plus Paid Time Off - 401(k) plan and contributions - Long-term/Short-term Disability - Paid Parental Leave - Employee Stock Purchase Plan Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant is an equal opportunity employer that embraces diversity, champions equity and values inclusion. We are dedicated to nurturing a community where everyone feels heard, accepted and welcome. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other protected characteristic as outlined by federal, state or local laws.

Job Tags

Holiday work, Temporary work, Local area, Remote job,

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