Medicare Enrollment Specialist

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

📋 Description

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

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

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

• Conduct regular audits and reconciliations to uphold data integrity.

• Review and upload mandatory data into the health plan system following established guidelines.

• Oversee and track daily activities to achieve designated targets.

• Operate independently and complete tasks within specified timeframes.

• Prioritize and fulfill all job responsibilities.

• Adjust to changes based on departmental and business needs.

• Collaborate with supervisors and team members to attain productivity and quality objectives.

• Provide prompt updates on work status.

• Escalate any discrepancies or issues as necessary.

⛳️ Requirements

• Exceptional written communication skills in English, showcasing clarity and precision.

• Strong reading and listening comprehension skills in English.

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

• Ability to effectively prioritize tasks.

• Keen attention to detail with the capability to multitask.

• Strong focus on customer service.

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

• Familiarity with medical terminology.

• Typing speed of no less than 40 words per minute.

• Excellent internet connectivity.

• Hard-wired internet access with a minimum of 2 Mbps upload and 10 Mbps download speeds.

• Wireless and satellite internet services are not compatible.

• A productive, secure, and distraction-free home work environment.

• High School Diploma or equivalent.

🏝️ Benefits

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

• Paid training at the hourly pay rate.

• Medical, dental, and vision insurance plans.

• 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.

• Dedicated personal trainer for Sutherland employees.

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