Medicare Enrollment Specialist

Job Summary

To support an innovative health plan, the full-time Medicare Enrollment Specialist will analyze and process enrollment forms, ensuring accuracy and compliance while working remotely.

Key responsibilities

• Determine the accuracy and completeness of member enrollment forms and verify data entry
• Resolve enrollment issues to provide a seamless member experience and maintain accurate records
• Participate in system testing and develop training for new hires to ensure effective onboarding

Required qualifications

• High School diploma or equivalent with two years of experience in medical data entry and customer service, or one year of Medicare enrollment processing experience
• Bachelor's degree in a related field is acceptable
• Experience with Medicare elections, transaction codes, and reconciliation operations preferred
• Familiarity with CMS tools, particularly the MARx website
• Ability to manage coordination of benefits and maintain Medicare member records