Senior Enrollment Specialist
Tasks
- Analyze enrollment reconciliation data
- Build case files for CMS contractor approval
- Conduct quality reviews
- Document processes and conduct training support
- Maintain member enrollment data
- Mentor junior team members
- Prepare enrollment and disenrollment requests
- Reconcile membership reports
- Report SLAs KPIs and operational metrics
- Resolve enrollment system rejections
- Review and process CMS transactions
- Review and resolve enrollment and billing discrepancies
- Verify Medicaid eligibility
- Verify eligibility requirements
Perks/Benefits
Skills/Tech-stack
CMS transactions | Case management | Data Analysis | Eligibility verification | Enrollment Reconciliation | KPI Reporting | Medicaid | Medicare | Medicare Advantage | SLA Reporting
Education
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