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Job Description

Position General Duties:

Team leader to assist and drive Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB and drive the team from front.

Role Responsibilities :

• In-depth knowledge and experience in the US healthcare (Non Voice) Membership enrollment and billing.
• Monitor team production, SLA and KPI and ensure client deliverables are met as per the contract.
• Keep the Standard operating procedure updated and establish due control mechanism.
• Work with quality and business transformation team to identify, recommend and implement process improvement projects.
• Monitoring and reporting team performance as needed set a right goal for all the team members.
• Provide mentorship, coaching and training to the team on all process related updated.
• Circulate productivity and quality dashboards at agreed periodic intervals to all relevant stakeholders.
• Proven track record in managing processes, streamlining workflows and excellent people management skills.
• Presenting the data and provide deep insights about the process to the clients as well as internal management
• Calibrate with QA s to ensure process knowledge and variance are managed and under control.
• Oversee data integrity of member enrollment records and remittance files transmitted from the state.
• Provide timely, efficient support for the eligibility load process while coordinating with corporate IS department to resolve issues that arise during the process.
• Provide research to correct errors in membership and Primary Care Physician data output within the provider information system.

Required Skills :

• 5+ years of experience in US healthcare working with Enrollment and Billing process.
• Ability to work regularly scheduled shifts from Monday-Friday 17:30pm to 3:30am IST.
• University degree or equivalent that required 3+ years of formal studies.
• Ability to work in a team environment.
• Good logical thinking ability.
• Good English Comprehension/written skills should have exposure to MS Office.
• Good Communication Skills Both Verbal and Written
• Ability to interact with clients preferred.

**Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on wend s basis business requirement.

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