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Quality Review and Audit Associate Representative

  • Location

    Phoenix, United States

  • Sector:

    Other Area(s)

  • Job type:

    Contract

  • Contact:

    Leric Arcigal

  • Job ref:

    22354

  • Published:

    11 months ago

  • Expiry date:

    2020-12-03

The Data Entry Sr Representative (Validator) plays a key role in maintaining our 40,000+ MAPD population, validating that all enrollments and other member related transactions are executed correctly.

Reviews applications, demographic changes, disenrollments, other insurance updates and other associated processes to verify accurate submissions to CMS and internal systems.

Works closely with Enrollment Specialists to correct inaccurate submissions.

Reports trends to Operations Supervisors.

Works to audit transactions on a timely basis.