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Medicare Enrollment Specialist II

Remote, United States R

USD 40K-44K Mid-level Full Time

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Found 1d ago

Tasks

Analyze enrollment reconciliation data and report KPIs and SLAs
Attend and complete client and employer trainings
Build case files for CMS contractor approval
Collaborate on process documentation and quality reviews
Maintain case accuracy and quality
Mentor junior team members
Prepare enrollment and disenrollment requests
Process and maintain enrollment and disenrollment requests
Reconcile and correct enrollment related issues
Reconcile membership reports
Resolve enrollment system rejections
Review Medicaid eligibility and complete verification processes
Review and process CMS transactions
Verify and maintain eligibility requirements

Perks/Benefits

Skills/Tech-stack

CMS interfaces | CMS transaction files | Eligibility verification | Enrollment Reconciliation | Medicaid Enrollment | Medicare Advantage | Medicare Enrollment | Medicare enrollment transactions

Education

Associate Degree | High School Diploma

Roles

Enrollment Specialist | Specialist

Regions

Countries

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