Senior Enrollment Representative

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

📋 Description

• Assist with Medicare membership enrollment, billing requirements, disenrollment, reconciliation, and benefits coordination related to relevant state and federal files.

• Oversee and analyze data related to enrollment, pinpointing discrepancies or issues.

• Contribute to process enhancements, business analysis, and operational initiatives.

• Manage shifting assignments, deadlines, and operational requests while ensuring accuracy and compliance.

⛳️ Requirements

• 3-5 years of experience in a Medicare health plan or Managed Care environment.

• Familiarity with Medicare enrollment, disenrollment, and reconciliation processes.

• Understanding of Medicare and CMS enrollment and billing regulations.

• Proficient in Microsoft Excel, Word, and PowerPoint.

• Strong grasp of healthcare and Managed Care operations.

• Experience with Medicare Advantage Prescription Drug Plan (MAPD) is preferred.

• Familiarity with 834 EDI transactions/files is preferred.

• Experience working with CMS and California DHS files is preferred.

• Experience with Medicare and Medicaid enrollment is preferred.

• Managed Care experience is preferred.

• Background in business analysis and process improvement is preferred.

• Experience with data visualization tools is preferred.

🏝️ Benefits

• Group Medical

• Dental

• Vision

• Life insurance

• Retirement Savings Program

• PSL

• W2 employment