Eligibility Consultant
NTT DATA North America
**Job Title** : Eligibility Consultant ( **Temporary 8 Months or Longer** )
**Industry** : Healthcare
**FSLA status** : Non-Exempt
**Department** : Operations
**Level** : Entry to mid-level
**Location** : Remote
**Pay Rate: 19.05**
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA Services currently seeks a **Eligibility Consultant** to join our team for a three month or longer temporary assignment. If you feel you are qualified by the description below, please apply for a chance to interview and discuss your skills & qualifications.
You’ll join and work with a team of talented people who enjoy solving tough problems and improving the healthcare industry. They believe in supporting both personal and professional growth. That means, they pay attention to goals, celebrate milestones and highly encourage learning opportunities.
**JOB SUMMARY**
The Contractual Eligibility Consultant is responsible to research and validate enrollment information, processing enrollment transactions, make outbound calls to enrollees and members to obtain required enrollment information, handle member inquiries and participate in enrollment projects. The Contractual Eligibility Consultant will support training initiatives and work to resolve member inquiries or concerns. This position is temporary starting around August 1st -December 31st, working the hours between 8am – 8pm. There can be a change in shift to include hours and days, within two-day notice. If inventory is high at the end of the contract December 31st there will be a possibility that the contract can be extended.
**Responsibilities**
• Handles physical documents and paper records to verify the eligibility of patients or members for healthcare services.
• Reviews paper forms, applications, or supporting documentation to gather and validate information such as insurance coverage, demographic data, and eligibility criteria.
• Organizes paper-based eligibility documents by creating and maintaining filing systems, ensuring proper document storage, and implementing strategies to improve accessibility and retrieval of information.
• Analyzes the paper-based information and documentation to determine the eligibility of patients or members for healthcare services.
• Performs manual data entry tasks to input eligibility information into relevant systems or databases.
• Ensures compliance with relevant healthcare regulations, policies, and industry standards in relation to paper-based eligibility operations to maintain patient confidentiality.
• Identifies opportunities to enhance the efficiency and accuracy of paper-based eligibility operations.
• Follows regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and personal development.
• Generates reports and analyzes data related to paper-based eligibility operations to help improve processes, address bottlenecks, and support decision-making.
**JOB QUALIFICATIONS**
+ 1 + years administrative duties
+ 1+ years of healthcare
+ Proficiency in Microsoft Office Products
+ High School Diploma
**ESSENTIAL FUNCTIONS**
All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.
**TYPICAL PHYSICAL DEMANDS**
Requires sitting for long periods of time. Some bending, stretching or reaching required. Requires the physical dexterity to operate a keyboard, calculator, telephone, copier and other office equipment as necessary. Requires ability to perform data entry functions for 95% of the scheduled work shift and perform duties in a fast-paced environment with high demands and tight deadlines. Requires ability to view computer monitor for long periods of time without eyestrain.
**About NTT Data, Inc** .
NTT DATA, Inc. partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. NTT DATA, Inc. is part of the NTT DATA family of companies, together comprising a top 10 global business and IT services provider with 100,000+ professionals in more than 50 countries, and is part of NTT Group, a partner to 85 percent of the Fortune 100. Learn more at https://us.nttdata.com/en/ .
**EEO Statement**
NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex sexual orientation genetic information, physical or mental disability, veteran or marital status, or any other class protested by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodation for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.
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