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Temporary Data Entry Specialist

Company: Commonwealth Care Alliance
Location: Springfield
Posted on: March 14, 2019

Job Description:

VACANCY NO
VN2797

POSTING TITLE
Temporary Data Entry Specialist

LOCATION CITY
Springfield

LANGUAGE REQUIREMENT


JOB DESCRIPTION

ORGANIZATION OVERVIEW:
Commonwealth Care Alliance is a rapidly growing nonprofit organization providing integrated health care and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcomes for these vulnerable populations.

Our unique care model is empowering for our employees as well as our members. Whether you are a clinical or administrative professional, all of us at Commonwealth Care Alliance receive the satisfaction of knowing our work truly makes a difference. We enjoy a company culture of passionate advocacy in a supportive work environment with opportunities for growth and learning, competitive salaries, and a generous and comprehensive benefit package.

The DATA ENTRY SPECIALIST will perform a variety of duties to maintain and support data integrity for the
CCA eligibility systems. Provide accurate, prompt, and courteous customer service to written and telephonic inquiries. The inquiries originate from various CCA and affiliated staff and involve a variety of issues including Medicaid and Medicare eligibility, general inquiries and required research. The Data Entry Specialist will work with various CCA and affiliated staff to facilitate the completion of enrollment applications for the SCO and other CCA programs. The Data Entry Specialist is responsible for the data entry of member information into the eligibility systems. THIS IS A TEMPORARY POSITION THAT WILL LAST AT LEAST 6 MONTHS

KEY RESPONSIBILITIES:
* Data entry of all new enrollments into the CCA eligibility systems.
* Update demographic and eligibility data as requested or as work flow requires.
* Review enrollment data reports from CMS, Mass Health, and contractors to:
Confirm enrollment action, Identify and respond to information requests from CMS, MassHealth and contractors, Identify potential enrollment and data discrepancies, determine proper course of action to resolve discrepancies
* Coordinate the process for acquiring the required documentation for members that temporarily or permanently reside in Skilled Nursing Facilities.
* Thoroughly document and track research and required follow up in applicable systems.
* Submit eligibility data and files as needed to external agencies.
* Offer recommendations and participate in process redesign sessions.
* Other projects as assigned.
Minimum Education Required Bachelor's Degree or equivalent experience
Preferred Educational Experience Bachelor's Degree or equivalent experience
Minimum Years Experience required 1 years
Minimum Experience 1 years
Minimum of one year of administrative support experience required, preferably in a Medicaid, Medicare and/or healthcare environment dealing with enrollment / membership related processes

We recognize that food allergies can cause serious, life-threatening conditions for people. To keep all our employees safe, CCA s offices are nut-free. If you have questions about the restrictions in the office you applied for, please ask your recruiter.

Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable).

Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.

CCA is committed to protecting the health of our workforce and our members, and we encourage flu vaccination in accordance with CDC recommendations. Individuals working in clinical care areas or in direct contact with members must provide documentation of flu vaccination, or wear a mask during flu season whenever engaged in member-facing activities.

Keywords: Commonwealth Care Alliance, Springfield , Temporary Data Entry Specialist, Administration, Clerical , Springfield, Massachusetts

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