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Eligibility Operations Advisor
Ref No.: 16-05767
Location: Irving, Texas
Position Type:Contract
Start Date / End Date: 09/01/2016 to 02/28/2017
  • Responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments
  • Conduct health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing
  • 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