Medicare Enrollment Specialist — Enrollment & Data Quality

PHH Peak Health Holdings; Texas; Ibrido; USD 42.000 - 55.000; Tempo pieno

Descrizione del lavoro

WVU Medicine’s Peak Health team is seeking a Medicare Enrollment Specialist to join the Enrollment Manager’s group. You will analyze and process enrollment forms, determine eligibility, and support Open Enrollment with quality checks on documents.

Candidates should have Medicare enrollment experience, strong data-entry and customer-service skills, and be able to navigate CMS tools. You’ll help train staff and ensure compliant enrollment processes.

Competenze

• High school diploma or equivalent with 2 years of medical data entry and 2 years of customer service, or 1 year Medicare eligibility/enrollment processing, or a Bachelor's degree.
• Associate degree in a related healthcare field preferred; Medicare enrollment experience is a plus.
• Experience with Medicare elections, LEP, MAPD, and CMS tools is advantageous.

Mansioni

• Determine accuracy and completion of member form information and enter data.
• Resolve enrollment issues to ensure a smooth member experience.
• Maintain Medicare enrollment records and perform outreach as required.
• Meet production and quality standards and manage workqueues.
• Communicate effectively with internal and external staff.
• Coordinate benefits and participate in system testing for rollouts.
• Develop and deliver trainings for new hires.
• Process SNP applications and verify eligibility in service area.

Conoscenze

Medical enrollment knowledge

Communication skills

Attention to detail

Multitasking

Formazione

High school diploma or equivalent

Bachelor's degree

Associate degree in related healthcare field

Strumenti

EPIC

Microsoft Office Suite

MARx CMS tools

Descrizione del lavoro

WVU Medicine’s Peak Health team is seeking a Medicare Enrollment Specialist to join the Enrollment Manager’s group. You will analyze and process enrollment forms, determine eligibility, and support Open Enrollment with quality checks on documents.

Candidates should have Medicare enrollment experience, strong data-entry and customer-service skills, and be able to navigate CMS tools. You’ll help train staff and ensure compliant enrollment processes.