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CTG is seeking an Eligibility Operations Advisor to work a 3 month assignment for our client in Malden, MA. There is potential for the candidate to go permanent with our client.
The contractors for this project will be focused on making outbound calls to potential members.
Candidate must have call center experience and customer service experience.
Required Function 1:
The Eligibility Operations Advisor I is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments. Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing.
Main Duties & Responsibilities: Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members. Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families. Assist in the identification of members that may qualify for the HIPP/Premium Assistance program. Complete periodic reports. Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program. Data entry to include accurate and timely entry of information. Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program. Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.
Required Function 2:
Required Skills: Ability to organize well. Ability to communicate both verbally and in writing, fluently in English. Ability to provide and represent professionalism in job. Ability to practice flexibility and adaptability in the workplace. Ability to work with Microsoft Word and Excel and navigate internet skillfully. Ability to analyze information and use logic and process to address work-related issues and problems. Ability to operate with strong interpersonal skills. Ability to be careful and thorough about detail. Ability to perform data entry accurately. Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines. Ability to handle conflict appropriately and constructively. Working knowledge of HIPAA privacy and Security rules. - Ability to perform well in team environment. Ability to meet deadlines.
Required Education & Experience: High School Diploma or Equivalent. Min. 2 year of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience. Min. 2 year experience working on the phone making inquiries(outbound) and answering calls (inbound). Knowledge of health care terminology is a plus.
Candidates interested in this position may apply now or email resumes to ...@ctg.com
CTG (NASDAQ: CTG) provides industry-specific IT services and solutions that address the business needs and challenges of clients in high-growth industries in North America and Western Europe. CTG also provides strategic staffing services for major technology companies and large corporations. Backed by more than 50 years of experience and proprietary methodologies, CTG has a proven track record of reliably delivering high-value, industry-specific staffing services and solutions to its clients. CTG has operations in North America, Western Europe, and India.
CTG's greatest asset is its people, and as such, we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work in Healthcare company by Modern Healthcare (2013-2016) in North America, and a Best Workplace in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).
CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.
CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.
Job Function: Team Operations
Education Level: None
Work Remote: No
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