Enrollment Services - Medicare Enrollment Processor 160-1033

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 32,000 - 42,000; Full time

Job summary

CommunityCare HMO Inc. in Tulsa, OK is seeking an Administrative Coordinator to manage workflow from enrollments, forms and emails, ensuring timely processing.

You will batch, track, and verify enrollment docs, maintain eligibility data, and respond to inquiries while complying with health care regulations and internal policies. This role requires strong organizational skills, attention to detail, and the ability to work independently in a fast-paced environment.

Qualifications

• High school diploma or equivalent.
• Two years in an administrative role in healthcare, insurance, or a medical group preferred.
• Excellent oral and written communication skills.
• Self-motivated with ability to manage multiple tasks.
• Ability to work independently with minimal supervision.
• Strong organizational skills and attention to detail.
• Able to collaborate with staff at various levels.
• Proficient in Microsoft Office applications.
• Health Care Sanctions background check required.

Responsibilities

• Receive, sort, and batch daily mail and emails.
• Create and update customer eligibility in databases.
• Review enrollment documents to determine processing requirements and batching.
• Process AOR, PHI, POAs, Guardianship and Alternate Contact requests per regulations.
• Monitor shared mailbox and respond to enrollment inquiries.
• Perform other duties as required or assigned.

Skills

Communication skills

Multitasking

Independent work

Organizational skills

Team collaboration

MS Office proficiency

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Job Summary

This position is responsible for maintaining the flow of work based on receipt of enrollments, forms, emails from internal and external sources.

Job Summary

This position is responsible for maintaining the flow of work based on receipt of enrollments, forms, emails from internal and external sources.

Key Responsibilities

• Receive, sort, and batch daily mail and emails.
• Create and update customer eligibility in databases.
• Review enrollment documentation to determine receipt date, enrollment source, existing member ID usage and late receipt rationale to determine enrollment processing requirements such as logging entries, outbound enrollment verification needs, and proper batching/form classification.
• Processes AOR, PHI, POAs, Guardianship and Alternate Contact requests according to state and federal regulations.
• Monitor shared mailbox; respond to customer requests as it pertains to enrollment information.
• Perform other duties as required or assigned.

Qualifications

• Possess strong oral and written communication skills.
• Self-motivated with the ability to handle multiple tasks simultaneously.
• Ability to work independently with minimal supervision.
• Maintain strong organizational skills and attention to detail.
• Ability to work effectively with personnel at various levels.
• Proficient in Microsoft office applications.
• Successful completion of Health Care Sanctions background check.

Education/Experience

• High school diploma or equivalency.
• A minimum of two years experience in an administrative function for a health care institution, insurance company or medical group preferred.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin