Enrollment Specialist II

Job Summary

An organization is seeking an Enrollment Specialist II.

Key Responsibilities:

• Prepare, process, and maintain enrollment and disenrollment requests
• Verify and maintain eligibility requirements
• Review and process CMS transactions

Required Qualifications:

• 3-5 years of professional experience in processing Medicare enrollment transactions
• Thorough understanding of Medicare Advantage products and enrollment-related guidelines
• Experience with CMS interfaces and systems for managing Medicare Advantage enrollment and billing
• Analyze enrollment reconciliation data and present findings in a structured way
• High school degree required