Senior Enrollment Representative

Senior Enrollment Representative

Hourly pay: $40/hr

Worksite: Leading medical institution (Los Angeles, CA 90045 - Remote)

W2 Employment, Group Medical, Dental, Vision, Life, Retirement Savings Program, PSL

40 hours/week, 7 Month Assignment

A leading medical institution is seeking a Senior Enrollment Representative to support Medicare membership enrollment operations, reconciliation, disenrollment, and benefits coordination.

Senior Enrollment Representative Responsibilities:

• Support Medicare membership enrollment, billing requirements, disenrollment, reconciliation, and benefits coordination, involving applicable state and federal files.
• Manage and analyze enrollment-related data, identifying discrepancies or issues.
• Assist with process improvement, business analysis, and operational initiatives.
• Prioritize changing assignments, deadlines, and operational requests while maintaining accuracy and compliance.

Senior Enrollment Representative Qualifications:

• 3-5 years of experience within a Medicare health plan or Managed Care environment.
• Experience with Medicare enrollment, disenrollment, and reconciliation.
• Knowledge of Medicare and CMS enrollment and billing regulations.
• Proficiency with Microsoft Excel, Word, and PowerPoint.
• Strong understanding of healthcare and Managed Care operations.
• Experience in Medicare Advantage Prescription Drug Plan (MAPD) is preferred.
• Experience 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.
• Business analysis and process improvement experience is preferred.
• Experience with data visualization tools is preferred.

Shift: Monday to Friday, 8:00 am to 5:00 pm.