Medicare Enrollment Specialist

🔥 17 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

👻 Ghost score 11%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 1 day.
• Jobs at this company usually fill in 21 days.
• No salary listed.

Apply Now

Find Similar Remote Jobs

Peak Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. It is owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. Peak Health aims to improve community health outcomes by offering an inclusive, provider-led health plan for residents of West Virginia and surrounding areas. The company is committed to making health care more accessible, understandable, and collaborative, with a focus on reducing costs and administrative fees for patients and employers. Peak Health also offers Medicare Advantage coverage tailored for West Virginia seniors through partnerships with leading health systems.

📋 Description

• Analyze and process Medicare enrollment forms, checking validity, completion, and accuracy • Determine whether to enroll, conduct outreach, or reject applications according to organizational policies and procedures • Review and evaluate documents for quality control before final entry of member enrollment forms • Determine accuracy and completeness of member form information and enter/verify form data • Resolve enrollment issues to ensure an efficient member experience • Maintain Medicare member enrollment records, including changes, updates, and outreach • Meet production and quality standards and maintain department workqueues • Communicate effectively with internal and external staff • Escalate issues to the appropriate level of supervision • Ensure accuracy of data entry and record maintenance • Manage coordination of benefits on member records • Develop and deliver department training to new hires • Participate in system testing for development rollouts • Participate in department planning for Open Enrollment • Process SNP applications and verify eligibility, including dual entitlement and residence within the service area • Report to the Enrollment Manager

🎯 Requirements

• High School diploma or equivalent AND two (2) years of experience working with medical or institutional data entry AND two (2) years of customer service experience; OR High School diploma or equivalent AND one (1) year of Medicare eligibility and Medicare Enrollment processing experience; OR Bachelor's degree • Preferred: Associate Degree or greater in related healthcare field • Preferred: Three (3) to five (5) years of Medicare Enrollment processing and customer service experience • Preferred: Two (2) years of experience with Medicare elections, transaction codes, and reconciliation operations • Preferred: Two (2) years managing late enrollment penalty (LEP) for MAPD enrollees • Familiarity with navigating CMS tools and resources, particularly the MARx website • Preferred: At least one (1) year of experience with system/user acceptance testing • Preferred: At least one (1) year of experience with developing and delivering trainings • Familiarity with medical insurance enrollment processes • Working knowledge of administrative and clerical procedures and systems, including word processing and managing files and records • Ability to take direction and navigate multiple systems simultaneously • Excellent written and oral communication, customer service, interpersonal, and telephone etiquette skills • Ability to solve problems using predefined methods and guidelines • Exceptional attention to detail, organization, and ability to perform multiple tasks simultaneously • Ability to sit for extended periods of time

🏖️ Benefits

• Full-time schedule of 40 hours per week

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume