Medicare Enrollment Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Accurately input, update, and maintain provider information within internal systems.

• Validate provider credentialing data, contracts, and demographic information.

• Ensure compliance of provider records with CMS, HIPAA, and state/federal regulations.

• Perform routine audits and reconciliations to uphold data integrity.

• Review and upload necessary data into the health plan system following process guidelines.

• Oversee and track daily activities to achieve set targets.

• Work autonomously and complete tasks within established time limits with minimal oversight.

• Prioritize and fulfill job responsibilities effectively.

• Adapt to changes based on departmental and/or business needs.

• Collaborate with supervisors and team members to achieve productivity and quality goals.

• Provide timely updates regarding work progress.

• Review documentation, verify insurance details, process enrollment forms, and ensure the accuracy of billing codes and patient data.

• Escalate any discrepancies or issues as necessary.

⛳️ Requirements

• Exceptional written communication skills in English with a strong emphasis on clarity and precision.

• Strong reading and listening comprehension skills in English.

• Well-honed analytical, logical, and organizational skills.

• Ability to prioritize tasks effectively and process intakes accurately and promptly.

• Sharp attention to detail and capability to multitask in a fast-paced setting.

• Strong customer service orientation.

• Proficient in Microsoft Office Suite and web-based applications.

• Familiarity with medical terminology.

• Typing speed of at least 40 words per minute.

• Reliable internet connection with hard-wired access of 2 Mbps upload and 10 Mbps download; wireless and satellite internet are not suitable.

• Productive, secure, and distraction-free workspace.

• High School Diploma or equivalent.

🏝️ Benefits

• Additional PBI bonus of up to $1500 per month.

• Paid training at the same hourly rate.

• Medical, dental, and vision coverage.

• Paid training and paid time off (PTO).

• Global Flexible Vacation Policy.

• Company-provided equipment.

• Opportunities for advancement.

• Monthly rewards and recognition programs.

• Employee discounts.

• Employee Assistance Program (EAP) and Health and Wellness initiatives, including access to a personal trainer dedicated to Sutherland.

• Weekday work schedule, Monday–Friday, 8:30 AM–5:00 PM EST.