Medicare Enrollment Specialist

This is a fully remote position, open to applicants in Virginia, +1 more state.

📋 Description

• Analyze and process Medicare enrollment forms, ensuring validity, completion, and accuracy.

• Assess whether to enroll applicants, conduct outreach, or reject applications in line with organizational policies and procedures.

• Review and assess documents for quality control prior to final entry.

• Input and verify member form data accurately.

• Address enrollment issues to ensure a seamless member experience.

• Maintain records of Medicare member enrollment, including any changes, updates, and outreach efforts.

• Meet production and quality standards while managing Workqueues effectively.

• Communicate effectively with both internal and external staff.

• Escalate issues to the appropriate supervisory level as necessary.

• Oversee the coordination of benefits on member records.

• Design and deliver training for new hires within the department.

• Participate in system testing during development rollouts.

• Engage in departmental planning for Open Enrollment.

• Process SNP applications and confirm eligibility, including Dual-Entitlement and residency within the service area.

⛳️ Requirements

• High School diploma or equivalent required.

• A minimum of two (2) years of experience with medical or institutional data entry and two (2) years in customer service, or one (1) year of experience in Medicare eligibility and enrollment processing.

• Knowledge of medical insurance enrollment processes is preferred.

• Proficient understanding of administrative and clerical procedures and systems, including word processing and file management.

• Ability to follow directions and navigate multiple systems at once.

• Excellent written and verbal communication, customer service, interpersonal skills, and telephone etiquette.

• Capable of resolving issues through established methods and guidelines.

• Strong attention to detail with the ability to organize and handle multiple tasks simultaneously.

• Ability to remain seated for extended periods.

• Experience in a standard office environment with electrical equipment.

• Proficient in Microsoft Office Professional Suite, Internet Explorer, and EPIC.

🏝️ Benefits

• Full-time schedule of 40 hours per week.