Coordinator II - Enrollment - US Tech Solutions, Inc.
Please note: Actual location may vary., RI 02895
About the Job
Job Description:
Responsibilities:
Processing enrollment of Medicare members including first-time enrollment and member modifications
Experience:
Skills:
Education:
- This position requires a strong focus around accurate and timely customer support to ensure member enrollment and retention. This position will partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines.
Responsibilities:
Processing enrollment of Medicare members including first-time enrollment and member modifications
- Manage work activities in your work queue (i.e. enrollment missing information, enrollment with effective date change)
- Interface with other system applications for research and, where applicable, updating them with actions/outcomes of enrollment activity
- May also support on one or more of the following enrollment support functions
- Update Excel spreadsheets to track workflow of various special assigned projects
- Outbound Enrollment Verification member calls
- Answer incoming agent/broker calls regarding special needs (low income) enrollment plans
- Post Enrollment functions such as determining member paid penalties
- Meet monthly established quality and productivity goals on a consistent basis
- Follow work instructions regarding enrollment tasks
Experience:
- Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and C
- Enrollment processes or previous work experience in regulatory environment
- Understanding of basic healthcare terminology and definitions, such as HIPAA
- Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets
- MicroSoft Office applications
Skills:
- Medicare Part D and C
Education:
- High School diploma or GED required; Bachelor’s Degree preferred
Source : US Tech Solutions, Inc.