Enrollment Analyst - ACA Enrollment
Home Work - Monongalia County WV (Local), United States
USD 44K-70K (estimate) Mid-level Full Time
Tasks
- Complete LEP data files and MPWR files
- Complete enrollment data validation monthly processes
- Comply with CMS submissions
- Conduct audits for compliance
- Coordinate benefits on member records
- Develop and deliver trainings
- Maintain APTC and CSR information
- Maintain member enrollment records
- Manage weekly enrollment files
- Monitor enrollment work queues
- Participate in system testing
- Perform monthly reconciliation from CMS
- Process ACA FFM enrollment transactions
- Process Medicare applications daily
- Process SNP applications
- Process Special Enrollment Period requests
- Process and troubleshoot 834 enrollment transaction files
- Process member enrollment applications
- Reconcile membership and coverage records
- Resolve enrollment discrepancies
- Run Real Time Eligibility queries
- Submit REED submissions
- Validate applicant eligibility information
Perks/Benefits
- N/A
Skills/Tech-stack
834 Transactions | ACA | APTC | ASO | Acceptance Testing | CMS | COB | CSR | Data Validation | EDV | Eligibility Queries | Enrollment Data Validation | Enrollment data | FFM | LEP | Medicare | REED | Reconciliation | Reporting | SNP | Special Enrollment Period | System Testing | Transaction codes | User Acceptance | User Acceptance Testing
Education
Roles
Regions
Countries
States
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