Specialist Process Associate Job In Infosys In Across India
Job Responsibilities:
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 proper application to ensure accurate information is represented in the company 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/disenrollment activity, and Mass Member Moves
As needed is available to support special projects
Assist in maintaining the integrity of eligibility tasks
External phone call with other health insurance to determine primary payer
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
Qualifications:
High School Diploma or GED Equivalent
At least 0-6 months of related work experience
Preferred
Excellent interpersonal and communication skills to deal effectively with all necessary levels within and outside the organization.
Demonstrates analytical and innovative excellence for current state and future state challenges at both the strategic and tactical levels
Strong organizational skills and superior attention to detail Strong decision maker
Ability to review documents for accuracy, completeness, and compliance; compile data and information for reports; compose letters and memoranda
Ability to gather and research data (i.
e, statutes, regulations, articles)
High School Diploma or GED Equivalent
At least 0-6 months of related work experience
Infosys is looking for 10th , Diploma profile candidates.
Short Job Information
