Medicare Enrollment Specialist

Job Summary

A company is looking for a Medicare Enrollment Specialist responsible for managing the full cycle of Medicare enrollment for individuals and group entities.

Key Responsibilities

• Manage end-to-end enrollment processes in the PECOS system, ensuring data accuracy
• Provide support to providers regarding surrogacy requests and enrollment issues
• Ensure compliance with federal regulations and participate in internal audits

Required Qualifications

• High School Diploma or GED
• Minimum of 5 years of experience in payer enrollment and/or credentialing
• At least 3 years of expert experience using the PECOS system
• Strong knowledge of CMS enrollment requirements and processes
• Preferred: Associate's or Bachelor's degree in Healthcare Administration or related field