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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