Medicare Enrollment Specialist

Solis Health Plans, Inc.; Florida; On-site; USD 42,000 - 56,000; Full time

Job summary

Solis Health Plans, Inc. in Doral, FL is seeking an Enrollment Specialist to process new enrollment applications and update member records in accordance with CMS and state regulations.

You will audit data entered into internal systems, transmit information to CMS within required timeframes, verify addresses, handle disenrollments, and maintain patient confidentiality while delivering courteous service to beneficiaries.

Qualifications

• High school graduate or equivalent; one year Medicare/Medicaid or health insurance experience, or equivalent combination.
• Excellent organizational, customer service, listening, interpersonal, verbal and written communication skills.
• Strong computer knowledge, including proficient knowledge of Microsoft Office.
• Familiarity with healthcare laws, regulations, and standards.
• Ability to multi-task, prioritize, meet deadlines, and maintain accuracy under pressure.
• Bilingual in Spanish and English required.

Responsibilities

• Processes enrollment and disenrollment elections from Medicare beneficiaries and updates member records.
• Audits data in internal systems to ensure data integrity and quality.
• Transmits election information to CMS within CMS timeframes.
• Sends letters to members within CMS timeframes.
• Verifies mailing addresses and residency information.
• Reads and classifies incoming materials for filing; maintains confidentiality of medical records.

Skills

Spanish/English bilingual

Organizational skills

Customer service

Data entry

HIPAA familiarity

MS Office proficiency

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Solis Health Plans, Inc. in Doral, FL is seeking an Enrollment Specialist to process new enrollment applications and update member records in accordance with CMS and state regulations.

You will audit data entered into internal systems, transmit information to CMS within required timeframes, verify addresses, handle disenrollments, and maintain patient confidentiality while delivering courteous service to beneficiaries.