Medicare Enrollment Specialist

🔥 15 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $31 - $38 / hour

⏳ Contract/Temporary

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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TEKsystems

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• Manage returned mail and update member records to maintain accurate demographic information • Process member demographic changes and enrollment updates accurately and promptly • Review, investigate, and resolve enrollment fallout queues in compliance with CMS guidelines and internal policies • Maintain accurate enrollment records and data integrity across systems • Partner with Sales to obtain missing application information and resolve enrollment-related issues • Collaborate with Customer Service on member eligibility and enrollment inquiries • Monitor enrollment processes for system, data, or quality concerns and escalate issues as appropriate • Complete enrollment transactions accurately within established service level agreements • Contribute to continuous improvement initiatives enhancing enrollment operations and member experience

🎯 Requirements

• High school diploma or equivalent required • Minimum of one (1) year of experience in health plan operations, with a focus on enrollment processing • Knowledge of health plan enrollment processes and membership administration • Strong data entry skills with a high level of accuracy and attention to detail • Experience working with Microsoft Office applications, including Excel, Word, and Outlook • Ability to manage multiple priorities in a fast-paced environment while meeting deadlines • Strong organizational, problem-solving, and communication skills • Familiarity with CMS enrollment regulations and Medicare enrollment processes preferred • Experience working with Medicare Advantage, D-SNP, or other government-sponsored health plan products • Knowledge of CMS enrollment guidelines and compliance requirements • Prior experience resolving enrollment discrepancies and eligibility issues within a health plan environment • Candidates must live in Ventura County, Santa Barbara County, San Luis Obispo County, Monterey County or Santa Cruz County

🏖️ Benefits

• Medical, dental & vision • Critical Illness, Accident, and Hospital coverage • 401(k) Retirement Plan with pre-tax and Roth post-tax contributions • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)