Enrollment Analyst

TEKsystems•Santa Barbara, CA
•$31 - $38•Remote

About The Position

The Medicare Enrollment Analyst I plays a key role in supporting daily enrollment operations for CenCal Healths D-SNP product line. Works collaboratively to deliver a high-quality member experience through precise and timely enrollment processes.

Requirements

  • Health plan enrollment experience (most important)
  • Experience processing member applications, eligibility, or enrollment changes
  • Experience working in a regulated healthcare environment
  • Microsoft Excel and Microsoft Office proficiency
  • High school diploma or equivalent required.
  • Minimum of 1 year of experience in health plan operations, focused on enrollment processing.
  • data entry accuracy
  • data entry
  • cms enrollment process
  • health plan
  • health plan enrollment
  • enrollment specialist
  • microsoft office
  • enrollment processing

Nice To Haves

  • Experience with CMS guidelines and a plus.

Responsibilities

  • Responsible for managing returned mail
  • Processing demographic changes
  • Resolving enrollment fallout queues to ensure accurate and compliant enrollment records in accordance with CMS guidelines.
  • Works together with sales to answer and assist completion of missing application information.
  • Works with customer service to ensure any enrollment or eligibility questions are answered.
  • Alerts manager or Enrollment Analyst if/when any system or quality issues arise.

Benefits

  • Medical
  • dental
  • vision
  • Critical Illness
  • Accident
  • Hospital
  • 401(k) Retirement Plan
  • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
  • Short and long-term disability
  • Health Spending Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Time Off/Leave (PTO, Vacation or Sick Leave)
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