Medicare Open Enrollment Specialist

WVU Medicine; EE. UU.; A distancia; USD 42.000 - 65.000; Jornada completa

Descripción de la vacante

PHH Peak Health Holdings seeks a Medicare Enrollment Specialist to join the Peak Health team, reporting to the Enrollment Manager. You will review and process member enrollment forms for Peak Health’s Plan Suite, ensuring validity and accuracy and determining enrollment eligibility or outreach as appropriate.

Ideal candidates have Medicare enrollment experience, familiarity with CMS tools (MARx), and a background in data entry and customer service.

Formación

• Three to five years of Medicare enrollment processing experience.
• Experience with Medicare elections, transaction codes, and reconciliation.
• Familiarity with CMS tools and MARx website.
• Experience in developing and delivering trainings is preferred.
• Ability to manage Open Enrollment activities and COB on records.

Responsabilidades

• Determine accuracy and completion of member form information.
• Resolve enrollment issues to ensure a seamless 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 (COB) on member records.
• Develop and deliver department trainings to new hires.
• Participate in system testing for new developments.
• Support Open Enrollment planning and execution.
• Process SNP applications and verify eligibility within service area.

Conocimientos

Medicare enrollment processes

Customer service

Attention to detail

Written and spoken communication

Problem solving

Multitasking

Educación

Bachelor’s degree

Associate Degree in related healthcare field

High School diploma or equivalent

Herramientas

EPIC

Microsoft Office

Descripción del empleo

PHH Peak Health Holdings seeks a Medicare Enrollment Specialist to join the Peak Health team, reporting to the Enrollment Manager. You will review and process member enrollment forms for Peak Health’s Plan Suite, ensuring validity and accuracy and determining enrollment eligibility or outreach as appropriate.

Ideal candidates have Medicare enrollment experience, familiarity with CMS tools (MARx), and a background in data entry and customer service.