Enrollment Coordinator
📋 Role Overview & Responsibilities
WFH in CST or EST only
Description:Our contingent workforce plays a critical role in working with our new and existing Medicare member clients to determine eligibility and perform various enrollment activities. Interfacing with both individual plan members and employer groups, the position will work in accordance with the Center for Medicare/Medicaid Services (CMS) guidelines to ensure regulatory compliance takes place. This position requires a strong focus around accurate and timely customer support to ensure member enrollment and retention. This position will partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines.
Responsibilities:Processing enrollment of Medicare members including first-time enrollment and member modificationsManage work activities in your work queue (i.e. enrollment missing information, enrollment with effective date change)Interface with other system applications for research and, where applicable, updating them with actions/outcomes of enrollment activityMay also support on one or more of the following enrollment support functionso Update Excel spreadsheets to track workflow of various special assigned projectso Outbound Enrollment Verification member callso Answer incoming agent/broker calls regarding special needs (low income) enrollment planso Post Enrollment functions such as determining member paid penaltiesMeet monthly established quality and productivity goals on a consistent basisFollow work instructions regarding enrollment tasks
Experience:Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and CEnrollment processes or previous work experience in regulatory environmentUnderstanding of basic healthcare terminology and definitions, such as HIPAABasic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheetsMicroSoft Office applications
EducationVerifiable High School diploma or GED required; Bachelors Degree preferred
Notes:M-F 8-5
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This position is located in Woonsocket, RI with potential relocation and sponsorship assistance depending on candidate qualifications.
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