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Medicaid Enrollment Process Specialist (Remote)

Cognizant
Cognizant
1+ years
Not Disclosed
10 April 30, 2025
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Medicaid Enrollment Process Specialist (Remote)
Experience Required: Minimum 1 year
Employment Type: Full-time
Work Model: Work from Home
Application Deadline: May 2nd, 2025

Company: Cognizant
Location: Remote (Primary Location – Phoenix, AZ – N Norterra Pkwy)
Job Category: Business Processes
Job Number: 000638166610


Job Purpose:
As a Medicaid Enrollment Process Specialist, you will be responsible for reviewing and reconciling member enrollment records, ensuring data integrity and compliance with enrollment guidelines.


Key Responsibilities:

  • Review member records including eligibility dates, plans, and primary care provider information

  • Reconcile enrollment data with the 834 file and update system records accordingly

  • Enroll or reinstate members as required

  • Audit and update Third Party Liability (TPL) records

  • Adhere to HIPAA and team-specific policies and standards

  • Communicate with staff and insured individuals to obtain or verify enrollment information

  • Perform additional duties as assigned


Required Qualifications:

  • Education: High School diploma or GED

  • Experience:

    • Minimum 1 year of Medicaid and/or Commercial enrollment processing experience

    • Facets experience preferred

  • Technical Skills & Competencies:

    • Ability to work independently and remotely

    • Strong attention to detail and organizational skills

    • Proficient in Microsoft Office Suite (Excel, Word, Outlook)

    • Keyboard typing speed of at least 35 WPM + 10-key

    • Familiarity with medical terminology, CPT-4, ICD-9/10, HCPCS, ASA, and UB92 billing codes

    • Experience navigating multiple systems with dual monitors

    • Effective communication and analytical skills

    • Adaptable to a high-performance and frequently changing environment


Compensation:

  • Salary: $15.00 – $18.00 per hour (based on experience and qualifications)

  • Other Compensation: Eligible for discretionary annual incentive program and stock awards


Benefits:

  • Medical, Dental, Vision, and Life Insurance

  • Paid Time Off and Paid Holidays

  • 401(k) with company contributions

  • Short-term and Long-term Disability

  • Paid Parental Leave

  • Employee Stock Purchase Plan


About Cognizant:
Cognizant is a global leader in professional services, transforming clients' business, operating, and technology models. As a member of the NASDAQ-100 and one of Forbes’ World’s Best Employers 2024, we focus on fostering innovation, collaboration, and inclusion in every aspect of our work. Learn more at
www.cognizant.com.

Equal Opportunity Statement:
Cognizant is an equal opportunity employer. We value diversity and do not discriminate based on any protected characteristic under applicable laws.

Accommodations:
If you require reasonable accommodation, please email: CareersNA2@cognizant.com


 

 

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