Sr. Enrollment Representative

Job Title

Location: Remote Hours: M-F 8-5

The ideal candidate will have experience with 834 EDI, State (CA Client) and CMS files. This role's responsibilities include but are not limited to:

• Understanding all aspects of Enrollment Operations, Medicare Membership Enrollment, Reconciliation, and benefits coordination operations
• Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment, business analysis and process improvement.

Required:

• High School Diploma or equivalent.
• Minimum of three to five (3-5) years' experience in a Medicare health plan or Managed Care Enrollment, Disenrollment and Reconciliation.
• Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
• Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
• Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines.
• Strong knowledge of the health care model and other managed care MSO operations.
• Strong critical thinking and the ability to apply knowledge at a broad level is essential.
• Reliability and compliance with scheduling standards.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.