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Senior Process Associate
at VDART in Arizona
Tittle: Senior Process Associate
Location: Phoenix AZ 85029 (Onsite)
Duration: Contract
Rate: $18.84/hr on W2
Job Description:
• Performs processes to resolve the following eligibility exceptions within the required State/Regulatory timeframes:
• Enrollment file errors, ID card generation errors, PCP assignments and, 834 enrollment files to vendor/third-party administrators.
• Process COB eligibility through Molina application to ensure accurate information is represented in Molina's enrollment system
• Assists with the support of the newborn enrollment functions, including call center, claims, and encounter requests for verification and updates, PCP assignment activity, enrollment record error reports, enrollment/dis-enrollment activity and Mass Member Moves.
• As needed is available to support special projects
• Prioritizes daily, weekly, and monthly job tasks to support regulatory requirements and service level agreements.
• Displays imitative to complete assigned tasks timely and accurately and balances workload to assist peers and Supervisor.
• Provides knowledgeable response to internal and external inquiries regarding eligibility, ID cards, selection of primary, care provider, and state enrollment transactions.
• Reconciles eligibility with State Agencies using varied methods. Tracks and documents all transactions with State Agencies.
Basic Requirement:
• High School Diploma or GED equivalent.
• Attention to detail and a high level of accuracy.
• Ability to identify which form received and accurately follow appropriate workflow based on form number or type.
• English Language proficiency - Proficiency of 4 for reading and 3 for spoken/written
• Strong data entry skills
• Typing expectations (40-50 WPM with 97.50% accuracy)
• Ability to work independently and use provided resources to seek solutions to problems.
• Well-developed analytical skills to evaluate and determine the appropriate course of action.
• At least 1 year of relevant work experience in US healthcare member enrollment (Medicaid, Medicare, or Commercial)
• Should possess the basic knowledge to work on MS offices tools. Demonstrated proficiency in computer navigation and functionality.
Reference : Senior Process Associate jobs
Reference : Senior Process Associate jobs
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