Ensuring accurate, efficient, and seamless Medicare enrollment experiences for members by reviewing, validating, and processing enrollment applications while ensuring compliance with eligibility requirements and organizational procedures.
- Review and process Medicare enrollment applications, verifying the accuracy, completeness, and validity of submitted member information.
- Determine whether applications should be approved for enrollment, referred for additional outreach, or rejected based on eligibility criteria, established policies, and applicable procedures.
- Enter and verify enrollment information in relevant systems, ensuring data accuracy and maintaining reliable member records.
- Investigate and resolve enrollment discrepancies and administrative issues to provide members with an efficient and seamless enrollment experience.
- Maintain and update Medicare member enrollment records annually, documenting changes, processing updates, and conducting outreach when required.
- High school diploma or equivalent
- Bachelor's degree
- Nice to have: Associate degree in a healthcare-related field
- Nice to have: Medicare elections
- Nice to have: Transaction codes
- Full-time remote working arrangement within the United States
- 40-hour workweek
- Opportunity to contribute to the development and improvement of innovative healthcare enrollment services
- Exposure to Medicare enrollment operations, eligibility management, and healthcare administration
- Opportunities to develop expertise in Medicare systems, CMS resources, and enrollment procedures
