Enrollment Associate

Clever Care Health Plan•Huntington Beach, CA

6d•$20 - $25•Hybrid

About The Position

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Requirements

Associate's Degree or equivalent combination of education and experience
One (1) to three (3) years’ experience in Medicare Managed Care Preferred
One (1) year experience with data entry and use of Microsoft Office
Knowledge of Medicare guidelines a plus
Must be well-organized and detail orientated.
Professional demeanor, with strong and excellent customer service skills.
Fast-learner
Ability to work in multiple computer systems
Ability to enter and retrieve data using standardized keyboard functions
Ability to read and interpret technical procedures or government regulations
Ability to write basic correspondence and perform basic arithmetic
Adaptability to change
Proficient in Microsoft Excel and World
Strong data entry skills (55 wpm preferred)

Responsibilities

Responding to internal and external customer inquiries
Addressing and resolving issues, questions and/or concerns regarding enrollment through claims, call tracking, or e-mail.
Creating and maintaining records in the eligibility transactional system
Entering enrollment applications into the company’s database system
Process enrollment and dis-enrollments
Verify enrollment status with clients
Research and resolve enrollment system rejections.
Works with colleagues to resolve exceptions and takes appropriate action to ensure members are properly enrolled.
Maintain records in the enrollment database.
Manage and maintain member eligibility change data
Conducts daily and monthly reconciliation of files
Verifies accuracy of entered data against sourced documents
Other duties as assigned.