Enrollment Processor I

Employment Type

: Full-Time

Industry

: Miscellaneous



Enrollment Processor I
USA-New York-Long Island City
Position Purpose: Responsible for maintaining internal computer
systems enrollment and membership records related to the
qualifications for coverage under the contract or agreement. Respond
to internal and external inquiries regarding eligibility/enrollment
and maintain membership records.
*
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 corporate IS department to resolve issues
that arise during the process
*
Provide research to correct errors in membership and Primary Care
Physician data output within the provider information system
*
Complete monthly reconciliation process of remittance files by
resolving discrepancies in report.
*
Generate internal ad-hoc reports and analysis as needed
Education/Experience: High school diploma or equivalent and 1+ year
experience in member enrollment, membership eligibility records,
member services or data analysis, or Bachelor's degree. Experience in
a managed care environment with provider information systems
preferred. Experience in Excel highly preferred.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment without
regard to race, color, religion, sex, sexual orientation, gender
identity, national origin, disability, veteran status, or other
characteristic protected by applicable law.
Health Insurance Operations
Full-time

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