CTG Call Center Rep (Eligibility Operations Advisor) in Irving, Texas

Title: Call Center Rep (Eligibility Operations Advisor)

Location: US-TX-Irving

Job Number: 17203853

We are seeking Eligibility Operations Advisors for our healthcare client in Irving, TX. Full-time contract positions 3-6 months. Call center experience required.

Job Description:

The Eligibility Operations Advisor is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments. Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing.

  • Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.

  • Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families.

  • Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.

  • Complete periodic reports.

  • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.

  • Data entry to include accurate and timely entry of information.

  • Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.

  • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

Job Requirements:

  • High School Diploma or Equivalent

  • 2 years of experience in insurance or healthcare industry.

  • Medicare/Medicaid experience preferred.

  • Insurance verifications experience preferred.

  • 2 years call center experience.

  • Knowledge of healthcare terminology is a plus.

To be considered, please apply using the link provided. For additional information, please email laura.evertsen@ctg.com. Ref. 17203853


CTG is the most reliable IT services provider, built on 50 years of meeting our commitments to make technology work for clients and deliver real business value. CTG provides industry-specific IT strategy, services, and solutions that address the business needs and staffing challenges of clients in high-growth industries, including major technology companies, large corporations, and government entities located in North America and Western Europe.

CTG's greatest asset is its people, and as such we are committed to providing employees programs and processes to support their performance, hone their skills, and advance in their careers. This commitment is reflected by CTG being named a Best Places to Work Company by Modern Healthcare (since 2013) in North America, and a Best Places to Work Company in the United Kingdom (2013), Belgium (since 2007), and Luxembourg (since 2011).

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity/Affirmative Action Employer and strong advocate of workforce diversity. Minority/Female/Sexual Orientation/Gender Identity/Disability/Veteran.

Job: Technology & Healthcare IT