Medicare Enrollment Specialist II
Tasks
- Analyze enrollment reconciliation data
- Attend and complete scheduled trainings
- Build case files for CMS contractor approval
- Collaborate on process documentation and training
- Correct enrollment related issues
- Maintain enrollment and disenrollment requests
- Mentor junior team members
- Perform quality reviews
- Prepare enrollment and disenrollment requests
- Present findings
- Process enrollment and disenrollment requests
- Reconcile membership reports
- Report SLAs and KPIs
- Research and resolve billing discrepancies
- Research and resolve enrollment discrepancies
- Resolve enrollment system rejections
- Review CMS transactions
- Review Medicaid eligibility
- Verify eligibility requirements
Perks/Benefits
Skills/Tech-stack
Billing reconciliation | CMS interfaces | CMS transactions | Case management | Data Analysis | Eligibility verification | Enrollment Reconciliation | KPIs | Medicaid | Medicare Advantage | Medicare Enrollment | SLAs
Education
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