Enrollment Specialist - Remote

Overview

The Enrollment Specialist is responsible for managing the enrollment processes for Medicare and Medicaid beneficiaries, ensuring compliance with regulations and providing excellent customer service.

In Short

• Process enrollments and disenrollments in compliance with Medicare and Medicaid regulations.
• Analyze beneficiary information to make eligibility determinations.
• Interact with internal and external customers to resolve inquiries.
• Maintain accurate records and documentation.
• Generate correspondence for member outreach.
• Perform root cause analysis for inquiry issues.
• Assist with daily application processing.
• Ensure adherence to productivity and quality standards.
• Collaborate with team members to improve processes.
• Demonstrate strong organizational and communication skills.

Requirements

• High school diploma or GED required.
• One year of related experience preferred.
• Knowledge of Medicare Advantage Guidelines.
• Excellent oral and written communication skills.
• Proficient in MS Office and basic computer skills.
• Detail-oriented and highly organized.
• Strong customer service skills.
• Able to read and interpret documents.
• Good interpersonal and leadership skills.
• Ability to work independently and as part of a team.

Benefits

• Opportunity to work in a people-first environment.
• Collaborative team culture.
• Professional development opportunities.
• Supportive management and team dynamics.
• Engagement in meaningful work in the healthcare sector.