Enrollment Coordinator

Apex Systems; Scottsdale (AZ); On-site; USD 30,000 - 50,000; Full time

Job summary

An IT staffing firm in Scottsdale is looking for an Enrollment Coordinator. The role involves processing Medicare Part D member enrollments and managing related tasks while ensuring regulatory compliance. Applicants should have experience with CMS guidelines and basic healthcare terminology. Proficiency in MS Excel is preferred. This position offers a collaborative environment with the operational business units and plays a crucial part in client enrollment and retention.

Qualifications

• Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes.
• Experience in regulatory environments is beneficial.
• Skills in creating and updating Excel spreadsheets.

Responsibilities

• Process enrollment of Medicare Part D members, including first-time enrollments.
• Manage work activities using the MedForce application.
• Log work activity in Access database.
• Support enrollment verification member calls.

Skills

Understanding of CMS guidelines

Basic healthcare terminology

Basic to intermediate skills in MS Excel

Skills in MS Word and Outlook

Tools

MedForce application

Access database

Excel

Job description

Apex Systems LLC, a division of On Assignment, is an IT staffing and services firm specializing in providing IT professionals for contract, contract-to-hire, and direct placements. Apex also offers recruitment solutions for other select professional skills and workforce needs

Job Description

Description: In-person interviews required for consideration

Business Hours: 6am - 9pm AEP 7 days

Current Work hours: 6am - 6:30pm Monday-Sunday (not to exceed 40 hours/week)

Overtime: As needed

Position Summary

The Enrollment Coordinator plays a critical role in working with our new Medicare Part D member clients to determine eligibility and perform various enrollment activities. Interfacing with both individual plan members and employer groups the position will work in accordance with Center for Medicare/Medicaid Services (CMS) guidelines to ensure regulatory compliance. This position requires a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Coordinator will need to prioritize daily tasks and work items in queue, manage turnaround times, and manage items that need escalation. The position will partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines. The Coordinator has the key responsibility of managing enrollment with optional tasks to include: scanning incoming items into MedForce application; tracking special projects in Excel and managing outbound enrollment verification member calls.

Duties

• Processing enrollment of Medicare Part D members including first-time enrollment and member modifications.
• Manage work activities from MedForce application – key tool that drives work activity/tasks.
• Interface with other applications for research and, where applicable, updating them with actions/outcomes of enrollment activity.
• Log work activity in Access database (task-start, type of activity, HIC number, task-stop, task-completion) and then proceed to next MedForce item in queue.
• Those demonstrating strong knowledge of enrollment practices will support on one or more of the following enrollment support functions:
• Manage scanning of all member correspondence into Med Force application, which drives enrollment queue
• Update Excel spreadsheets to track workflow of various special assigned projects
• Support Outbound Enrollment Verification member calls

Qualifications

• Experience: Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment
• Understanding of basic healthcare terminology and definitions, such as HIPAA and JACHO.
• Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets.

Additional Information

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All your information will be kept confidential according to EEO guidelines.