Enrollment Specialist (remote)

Enrollment Specialist (remote)

This is a remote position open to any qualified applicant in the United States.

Purpose:

Enrollment examiners will review enrollment records, identify discrepancies, and reconcile member records per the enrollment guidelines to ensure data integrity is sound for all member records.

Essential Functions:

1. Reviewing member records from an enrollment perspective, reviewing eligibility dates, plans, primary care provider information, and other pertinent information related to the enrollment of a member.

2. Comparing and reconciling all enrollment information to the 834 file and reconciliing the record, making changes int eh system to ensure the correct information is present for each member.

3. Enrolling new or reinstated members into the system per request.

4. Reviewing and reconciling Third Party Liability records for member records.

5. Follows all team procedures, including HIPAA policies and procedures, and meets team quality, turnaround time and productivity performance standards and goals.

6. Maintaining internal customer relations by interacting with staff regarding enrollment issues and research, ensuring accurate and complete enrollment record information, contacting insured or other involved parties for additional or missing information.

7. Other duties as assigned.

Qualifications:

Education: High School diploma or GED required.

Experience:

* Minium one year of Medicaid and or Commerical enrollment processing experience.

* Facets experience preferred

Technical Competencies:

1. Ability to work remotly and independently

2. Strong attention to detail

3. Strong interpersonal, time management and organizational skills

4. Good oral/written communication and analytical skills

5. Must be able to work in a high performance environment that changes often

6. Experience in navigating multiple systems using dual monitors

7. Knowledge of medical terminology, CPT-4, ICD-9, ICD-10, HCPCS, ASA and UB92 Codes, and standard of billing guidelines required.

8. FACETS experience prefered

9. Medicaid knowledge preferred

10. Keyboard skills of at least 35 WPM + 10-key

11. Proficient in Microsoft Office - Excel, Word, and Outlook

Salary and Other Compensation:

Applications will be accepted until May 31, 2025.

The hourly rate for this position is between $17.00 - 18.50 per hour, depending on experience and other
qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and
subject to the terms of Cognizant's applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
* Medical/Dental/Vision/Life Insurance
* Paid holidays plus Paid Time Off
* 401(k) plan and contributions
* Long-term/Short-term Disability
* Paid Parental Leave
* Employee Stock Purchase Plan

Disclaimer: The hourly rate, other compensation, and benefits information is accurate as of the date of this
posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.