Job description
Job Description:
Assistant Manager-Medicaid Enrollment
- Process daily enrollee invoices and premium reconciliation for Marketplace members.
- Perform month-end invoicing and accuracy audits.
- Administer claims payments, maintain claim records, and provide counsel to claimants regarding coverage amount and benefit interpretation.
- Monitor and control backlog and workflow of claims and ensure that claims are settled in a timely fashion and in accordance with cost control standards.
- Assist in resolution of escalated premium payment issues with Appeals and Grievances team.
- Guide and collaborate with Enrollment team to resolve eligibility issues affecting premium billing.
- Ensure the accurate billing and posting of payments on accounts.
- Complete adjustments for bad debt accounts and is responsible for timely correction of posting errors.
- 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 maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.
- Partner with enrollment teams and offer guidance where premiums are directly impacted by enrollment discrepancies.
Qualifications
Basic
- High School Diploma or GED Equivalent
- At least 6 years of relevant work experience
- Knowledge of basic Medicaid/Medicare billing rules, regulations, and deadline
- Must have excellent time management and organizational skills.
- Strong team-oriented individual.
- Excellent communication with all levels of team.
- Must have strong knowledge and experience in MS office products, minimally Outlook, Word and Excel.
- Access or SQL experience is a plus.
- Experience in Team Leadership
About Us
Infosys is a global leader in next-generation digital services and consulting. We enable clients in more than 50 countries to navigate their digital transformation. With over four decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI-powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always-on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem.
Infosys is an equal opportunity employer and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.
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