Enrollment Representative

Medix; Orange (CA); Hybrid; USD 29,000 - 30,000; Full time

Benefits offered by this job

Weekly pay

Medical insurance

Dental insurance

Vision insurance

Short-term disability

Life insurance

Job summary

Medix in Orange, CA seeks an Enrollment Representative to process Medicare Advantage enrollments with precise data entry, eligibility checks under CMS guidelines, and collaboration with internal teams. The role involves reviewing applications, resolving issues, occasional outbound calls, and meeting productivity goals; initial onsite training for 4 weeks with later hybrid work arrangement.

This entry-level position offers a clear career path in a growing health plan with weekly pay and

Qualifications

• High school diploma, GED, or official transcripts.
• 1+ years of data entry experience with strong general business/office skills.
• Computer proficiency, including basic computer literacy.
• Comfort with occasionally making outbound phone calls.
• Strong attention to detail, reliability, and a metrics-driven mindset.

Responsibilities

• Accurately enter, review, and update enrollment applications in a timely manner.
• Verify applicant eligibility for Medicare Advantage Plans, ensuring CMS guidelines compliance.
• Review applications for completeness, required documentation, and accuracy prior to submission.
• Process plan changes, denials, and special election requests as applicable.
• Identify, document, and elevate enrollment discrepancies or errors per compliance protocols.
• Perform quality checks on individual work to meet accuracy metrics.
• Maintain up-to-date knowledge of CMS enrollment guidelines and company policies.
• Respond to internal inquiries from agents, brokers, and customer service teams regarding enrollment status.
• Provide clear, professional communication to resolve application issues promptly.
• Collaborate with internal departments to ensure efficient resolution of enrollment-related issues.
• Meet or exceed productivity, accuracy, and timeliness goals (80–110 applications daily, ~8–10 per hour after ramp-up).
• Track daily work volumes, turnaround times, and error rates per department standards.
• Make occasional outbound phone calls to applicants or partners to obtain missing information.

Skills

Data entry

Attention to detail

Outbound calls

Education

High school diploma

Tools

Microsoft Office

Job description

Salary: USD21 - USD21 per hour + Medical, Vision, Dental, Weekly Pay, Sick Pay

Position Overview

The Enrollment Representative is responsible for processing all new Medicare Advantage plan enrollments, ensuring high attention to detail and accurate data entry within required timeframes. In this role, you will review applications, verify eligibility under CMS guidelines, and collaborate with internal teams to resolve issues. While primarily a data-driven entry role, you will occasionally make outbound calls to gather missing information. This position offers a great entry point into a rapidly growing Health Plan with cross‑training opportunities, potential for extension or permanent placement, and a hybrid work option after initial training.

Responsibilities

Accurately enter, review, and update enrollment applications in a timely manner.

Verify applicant eligibility for Medicare Advantage Plans, ensuring strict compliance with CMS guidelines and HIPAA requirements.

Review applications for completeness, required documentation, and accuracy prior to submission.

Process plan changes, denials, and special election requests as applicable.

Identify, document, and elevate enrollment discrepancies or errors following compliance protocols.

Perform quality checks on individual work to meet established accuracy metrics.

Maintain up‑to‑date knowledge of CMS enrollment guidelines and company policies.

Respond to internal inquiries from agents, brokers, and customer service teams regarding enrollment status.

Provide clear, professional communication to resolve application issues promptly.

Collaborate with internal departments to ensure efficient resolution of enrollment‑related issues.

Consistently meet or exceed productivity, accuracy, and timeliness goals (processing 80–110 applications daily, or ~8–10 per hour after ramp-up).

Track daily work volumes, turnaround times, and error rates in line with department performance standards.

Make occasional outbound phone calls to applicants or partners to obtain missing information as needed.

Required Qualifications

High school diploma, GED, or official transcripts.

1+ years of data entry experience with strong general business/office skills (healthcare experience is not required).

Computer proficiency, including basic computer literacy.

Comfort with occasionally making outbound phone calls.

Strong attention to detail, reliability, and a metrics‑driven mindset.

Preferred Qualifications

Prior experience in a Healthcare Administrative setting (e.g., call center, data entry, health insurance, or Medicare Advantage experience).

Schedule

Standard Shift: Monday – Friday, 9:00 AM – 6:00 PM.

Location Structure: Onsite during the initial 4‑week training period (located in Orange, CA). Potential to transition to a hybrid schedule (3 days onsite / 2 days remote) post‑training.

Overtime: Overtime is required based on business needs. Candidates must be flexible to work shifts between 8:00 AM – 8:00 PM Monday through Friday, as well as occasional Saturdays (no Sunday work).

Compensation

$21.00 – $22.00 / hour

Weekly Pay, Medical, Dental, Vision, Short Term Disability, and Life Insurance

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