Enrollment Specialist - Remote

Overview

The Enrollment Specialist is responsible for performing duties related to enrollment of Medicare and Medicaid beneficiaries, ensuring compliance with regulations and governance.

In Short

• Process enrollments and disenrollments in compliance with Medicare and Medicaid regulations.
• Make eligibility determinations based on CMS guidelines.
• Interact with customers to resolve inquiries or complaints.
• Adhere to productivity and quality expectations.
• Assist with daily application processing and reviews.
• Conduct root cause analysis for member inquiries.
• Maintain positive relationships through effective communication.
• Collaborate effectively in a team environment.
• Proficient in MS Office and customer service skills.
• Attention to detail and organizational skills are critical.

Requirements

• High school diploma or GED required.
• Minimum one-year related experience preferred.
• Knowledge of Medicare Advantage Guidelines.
• Strong organizational and communication skills.
• Ability to work effectively in a team environment.
• Proficient in MS Office with basic computer skills.
• Excellent customer service skills.
• Attention to detail is critical.
• Good oral and written communication skills.
• Able to read and interpret documents.

Benefits

• Engaging work environment focused on people-first approach.
• Opportunities for career development and growth.
• Supportive team culture.
• Comprehensive training and resources.
• Flexible working arrangements.