Join NTT DATA as an Eligibility Specialist and play a vital role in maintaining updated enrollment and benefit information for self-insured employer groups. This position offers the opportunity to work remotely while contributing to a team that values integrity and innovation.
Key Responsibilities
Answer telephone inquiries from insured members, employers, providers regarding enrollment and prescription issues
Process EDI Member Maintenance daily
Oversee benefit additions, changes, and deletions in the GBAS system
Manage prescription drug benefits with Pharmacy Benefit Managers
Coordinate printing and mailing of health ID cards
Provide COBRA administration for self-insured groups
Respond to HIPAA certificate requests
Run eligibility reports as needed
Participate in audits as needed
Notify management of overtime needs
Perform other duties as assigned
Required Qualifications
1-2 years of Eligibility experience
1-2 years of EDI experience
High School Education
Preferred Qualifications
Previous experience in the insurance or benefits management field
Benefits & Perks
Medical, dental, and vision insuranceFlexible spending or health savings accountLife and AD&D insuranceShort- and long-term disability coveragePaid time offEmployee assistanceParticipation in a 401k program with company match