Enrollment Representative (Onsite)
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Full-time
Compensation
USD17.1 - 23/hour
Posted about 3 years ago
Responsibilities
We are a value-driven healthcare company committed to providing personalized care to aging and underserved populations. We do this by aligning stakeholders across the healthcare ecosystem. Together, we can improve consumer experience, optimize clinical outcomes, and reduce total cost of care. Our company values are: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
Our Enrollment Representatives facilitate the processing, coordination, and handling of all Medicare enrollment and disenrollment functions in a timely and accurate manner with internal departments and CMS; provide general assistance to Member Services Department. This position is onsite at our Anaheim office. M-F 7am-4pm, some OT required.
Responsibilities:
- Handle and process all member enrollment, disenrollment, and cancellation requests
- Verify and print beneficiary eligibility evidence for Part A/B, Medi-cal and Wipro (infocrossing)
- Screen all incoming application and follow up with broker for all discrepancies / missing information to ensure application is complete
- Process enrollment applications: Data entry of prospective member into enrollment system for completed enrollments that have been evaluated with an assigned election type/code
- Generate submission report and upload enrollment application to member profile on a daily basis
- Print auto-generated notices (OEV, DIS, REJ, CAN, RFI etc.). Upload, call log and mail out
- Verification of member with Medi-Cal eligibility through online verification for DSNP/CSNP monthly process
- Notify Broker Relations Department when questionable or non-compliant pattern is identified with specific brokers
- Outbound calls to members for research or obtaining additional information
- Participating in Team chats, emails and meetings related to Department operations
- Conduct any necessary research on questionable applications by working with supervisory staff
- Coordinate with Marketing Department to properly track the mailing of ID cards, and all other applicable letter/notices to members after enrollment completion
- May receive transferred calls from Member Services Department and/or other departments
- Inform Supervisor / Manager of issues encountered and provide resolution in a timely manner
- Assist in translation and proofreading upon request from upper management and the marketing department
- Follow defined work schedule
- Be ready to handle outbound customer calls and assignments in a professional manner
- Work on assigned/required weekends and after hours during open enrollment season