Medicare Enrollment Support Specialist

Job Description

Job Description

Medicare Enrollment Support Specialist

Location: Birmingham, AL

Work Schedule: This position works onsite Monday through Friday at the VIVA HEALTH corporate office in downtown Birmingham.

Job Summary:

The Medicare Enrollment Support Specialist is responsible for preparing and scanning daily work for processing by the Enrollment Department. This position will also be responsible for processing returned mail within Centers for Medicare and Medicaid (CMS) and plan timeframes, creating check requests for invoices, securing required signatures, and printing & mailing all correspondence. In addition, this position will assist with enrollment applications and county updates with Medicare or disenrollments related to address updates when necessary.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health -

Key Responsibilities

• Prepare and scan all daily work using imaging system for processing each day by the Enrollment Department.
• Maintain up-to-date knowledge of all CMS guidelines related to address verification, returned mail, and out-of-area status as outlined in Enrollment related chapters of the Managed Care Manual.
• Research all returned mail received on Medicare members to locate a valid address, which could include reaching out to the member via telephone.
• Print and mail all correspondence.
• Create check requests for monthly invoices and secure required signatures for submission to accounting for payment.
• Assist with processing enrollment applications and county updates with Medicare or disenrollments related to address updates received from members.

REQUIRED:

• High School Diploma or GED
• 1 year of administration experience
• Ability to work under pressure to meet deadlines with minimal supervision
• Ability to work in a team environment, remaining flexible to ideas, recognizing responsibilities, and actively participating with others to accomplish assignments and achieve desired goals
• Demonstrate excellent customer service skills through written and verbal communication
• Basic computer and data entry skills
• Excellent proofreading skills
• Proficient in Microsoft Word and Excel

PREFERRED:

• Medicare managed care enrollment experience
• AS400/POWERSTEPP/TXEN or similar mainframe experience
• Health Insurance, Healthcare, or HMO experience