Medicare Member Enrollment Specialist

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RAM Technologies

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 1996

🔧 Hardware

🤝 B2B

Hardware • B2B

RAM Technologies is a U. S. -based manufacturer of high-reliability medical and industrial power supplies and related accessories. Since 1996 the company has designed and produced certified PC power supplies for medical devices and other industrial applications, emphasizing quick turnaround for prototypes, customizable output cables, and compliance with standards such as EN 60601-1. RAM Technologies offers long-life, warranty-backed products made in the USA, targeting OEMs and designers of medical and industrial electronics.

📋 Description

• Perform tasks associated with Medicare Advantage member record updates including, but not limited to, processing enrollment applications, disenrollments requests, address changes, ACH updates, member demographic updates and others as needed. • Process transactions requiring manual intervention from various sources of CMS files and reconciliation reporting. • Generate CMS required correspondence to a member or upon the member's request. • Perform the monthly reconciliation of the member enrollment data to the CMS system of record. • Accurately enter member Coordination of Benefits (COB) data. • Meet established production and quality standards. • Identify opportunities to improve efficiency within assigned processes. • Complete special projects as assigned.

🎯 Requirements

• 1-3 years in healthcare industry experience working in Medicare Advantage, Managed Medicaid, or working with an industry competitor processing enrollment applications and member status changes. • Experience working with the Center for Medicare Services’ (CMS’s) Medicare Advantage & Prescription Drug System (MARx). • Experience in a Business Process as a Service (BPaaS) setting or similar environment. • Candidate should have experience working in a production environment and the ability to meet performance standards. • Attention to detail and the ability to apply documented procedures to achieve desired outcomes are also required. • Familiarity with the Medicare Advantage and Part D Enrollment and Disenrollment Guidance (formerly Chapters 2 & 3) and the CMS Plan Communications User Guide (PCUG), preferred. • MS Word and MS Excel, good interpersonal skills, written and oral communication abilities a must.

🏖️ Benefits

• Health, dental & vision insurance • 3 weeks of vacation • Vacation and holiday pay • Traditional and ROTH 401k with company match • Company paid life insurance, AD&D, and long-term disability coverage • HSA and FSA accounts • Tuition Reimbursement • Parental Leave