Eligibility Associate Representative

  • Location

    Nashville, United States

  • Sector:

    Other Area(s)

  • Job type:


  • Contact:

    Leric Arcigal

  • Job ref:


  • Published:

    about 1 year ago

  • Expiry date:


An DCM specialist is required to deal with demographic, PCP, and upload issues surrounding a customers eligibility for various aspects related to their enrollment or disenrollment. Essential Job Functions:

Understand and be able to use CMS Guidance Understanding of the rules and regulations within CMS Guidance Process with full understanding demographic changes, PCP changes, PCP assignments, disenrollments related to address issues, segment changes, premium changes, and fall out reporting Ability to deal with multiple issues at one time Ability to learn and adapt quickly Review, investigate, and resolve issues quickly - via email, phone, and call trackers