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Senior Enrollment Representative
Location
United States
Posted
40 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Senior Enrollment Representative
GLOBALHEALTH HOLDINGS LLC
Role Description The successful candidate will utilize and further develop their existing expertise in Medicare Advantage enrollment processes and guidelines. This candidate will perform advanced functions of enrollment and eligibility to provide exceptional service to members and cross-functional teams. Responsibilities include: - Review enrollment requests and other documents of Medicare beneficiaries applying for Medicare Advantage products. - Perform all functions of verification for SNP enrollees and members. - Process Transaction Reply Reports (TRR) and follow through with documentation and notifications. - Investigate, resolve, and report problems through customer service ticketing or other electronic methods. - Perform premium billing functions and reconciliation according to CMS guidelines. - Perform other duties as assigned. Qualifications - High school diploma or equivalent. - Bachelor's degree preferred. - 5+ years experience in a Medicare Advantage health plan is required. - 5+ years experience in Enrollment processes for a Medicare Advantage health plan is strongly desired. - 5+ years experience in TRR processing and clearing CMS rejections is preferred. - 2+ years experience in Medicare Advantage SNP verification is preferred. Requirements - Strong attention to detail and good organization and time management skills. - Knowledge of Microsoft software programs including Word, Excel, and PowerPoint. - Ability to communicate clearly and effectively, both orally and in writing. - Proven ability to work independently or as a member of a team. - Knowledge of Medicare Managed Care Plans required. - Microsoft Office proficient, including the ability to save and send documents, spreadsheets, and emails. Company Description GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve.
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