Enrollment Associate

Clever Care Health Plan; Huntington Beach (CA); Hybrid; USD 28,000 - 34,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

Clever Care Health Plan is seeking an Enrollment Associate to support member onboarding and enrollment processing. You will collect and verify enrollment data, contact applicants for missing information, and guide them through the enrollment journey.

Responsibilities include data entry into the enrollment system, status verification, and collaboration with internal teams to maintain accurate records and timely enrollment.

Qualifications

• Associate's degree or equivalent combination of education and experience.
• 1–3 years of Medicare Managed Care experience preferred.
• At least 1 year of data-entry experience and Microsoft Office proficiency.

Responsibilities

• Respond to internal and external enrollment inquiries.
• Enter enrollment applications into the company database.
• Verify enrollment status with clients and reconcile records.
• Maintain enrollment records and support documentation.
• Research and resolve enrollment rejections and exceptions.
• Collaborate with teams to ensure accurate member enrollment.

Skills

Customer service

Detail oriented

Fast learner

Multi-system proficiency

Written communication

Education

Associate's Degree or equivalent combination of education and experience

Tools

Microsoft Office

Microsoft Excel

Microsoft Word

Enrollment database

Job description

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.Who Are We? Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.Why Join Us?We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.Job SummaryThe Enrollment Associate is responsible for assisting with the enrollment process. They support the onboarding of new members by collecting and verifying enrollment data, ensuring accuracy and completeness. The associate may communicate with applicants to gather missing information, answer inquiries, and provide guidance throughout the enrollment process. They collaborate with internal teams to coordinate and track enrollment activities, maintaining documentation and records. The Enrollment Associate plays a vital role in ensuring a smooth and efficient enrollment experience for individuals joining the plan.Functions & Job ResponsibilitiesResponding to internal and external customer inquiriesAddressing and resolving issues, questions and/or concerns regarding enrollment through claims, call tracking, or e-mail.Creating and maintaining records in the eligibility transactional systemEntering enrollment applications into the company’s database systemProcess enrollment and dis-enrollmentsVerify enrollment status with clientsResearch and resolve enrollment system rejections.Works with colleagues to resolve exceptions and takes appropriate action to ensure members are properly enrolled.Maintain records in the enrollment database.Manage and maintain member eligibility change dataConducts daily and monthly reconciliation of filesVerifies accuracy of entered data against sourced documentsOther duties as assigned.QualificationsEducation & Experience:Associate's Degree or equivalent combination of education and experienceOne (1) to three (3) years’ experience in Medicare Managed Care PreferredOne (1) year experience with data entry and use of Microsoft OfficeSkills:Knowledge of Medicare guidelines a plusMust be well-organized and detail orientated.Professional demeanor, with strong and excellent customer service skills.Fast-learnerAbility to work in multiple computer systemsAbility to enter and retrieve data using standardized keyboard functionsAbility to read and interpret technical procedures or government regulationsAbility to write basic correspondence and perform basic arithmeticAdaptability to changeProficient in Microsoft Excel and WorldStrong data entry skills (55 wpm preferred)Wage Range: $20.00 to $25.00 per hourPhysical & Working Environment.Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:Must be able to travel when needed or requiredAbility to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.#LI-Hybrid