**Role Responsibilities** : + In-depth knowledge and experience in the US healthcare (Non Voice) – Membership enrollment and billing. + Ability to train the team on new process and process updates. + Calibrate with QA’s to ensure process knowledge and variance are managed and under control. + Ability to create Process SOP, Process Map and identifying the outlier within process. + Review Discrepancy report and comments, identify gaps and share with TL. + Identify NVA and provide suggestion for automation opportunities. + Identify refresher/re-trainable topics, conduct assessments, and certify staff to move to different levels of production. + Drive team from the front in case of leadership unavailability. + Need to co-ordinate with quality team to identify the root cause and provide appropriate solution to overcome errors. + 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. + Research information on members/subscribers to resolve problems and disputes. + Maintains quality and production standards as outlined by government regulations and department policies & procedures. + Completion of volumes in queue within specified Turn Around Time. + Ability to meet their required production and Quality target. + Setting productivity /Quality benchmark + Handles internal and external inquiries concerning billing, enrollment of member or subscriber. **Required Skills** : + Ability to work regularly scheduled shifts from Sunday - Saturday 5 PMIST time to 8 AM IST (5 days working). + University degree or equivalent that required 3+ years of formal studies. + Work from Office. + No transport facility (Own transport). + Ability to work in a team environment. + Good logical thinking ability. + Good English Comprehension/written skills should have exposure to MS Office. + Good Communication Skills – Both Verbal and Written + Ability to interact with clients preferred. ** Schedule availability for this position is Sunday - Saturday 5 PM IST time to 8 AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime, holiday working and weekend working as per business requirement.