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Senior Representative, Enrollment (Remote)

United States R

USD 49K-85K (estimate) Senior-level Full Time

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Found 1d ago

Tasks

Analyze complex eligibility problems
Communicate eligibility trends to leadership
Conduct quality reviews and submissions
Facilitate member outreach
Generate ID cards
Handle 834 enrollment files
Manage PCP assignments
Manage high volume enrollment tasks
Perform enrollment record error reports
Perform user testing for enrollment systems
Prioritize tasks by SLAs
Reconcile eligibility with agencies
Resolve eligibility issues
Resolve enrollment file errors
Serve as subject matter expert
Support call tracking claims workflow and encounter requests
Support enrollment disenrollment activities
Support enrollment production inquiries
Support regulatory audits
Track and document agency proceedings
Train new staff
Verify health insurance payors

Perks/Benefits

N/A

Skills/Tech-stack

834 Enrollment File | CMS | Customer Service | Data Processing | Eligibility Management | HIPAA | Medicaid | Microsoft Office | Primary Care Provider | Primary care | Quality Assurance | SQL Reporting | SSRS | User Testing

Education

N/A

Roles

Customer Support Representative | Enrollment Representative | Senior Customer Support Representative | Support Representative

Regions

Countries

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