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Temporary Data Entry Specialist

Company: Commonwealth Care Alliance
Location: Springfield
Posted on: May 18, 2019

Job Description:


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.


* 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

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.

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

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