Job Description
- 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 Representativeto 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.
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