Enrollment Professional 2

Humana

2d • $58,700 - $70,400 • Remote

About The Position

The Enrollment Professional 2 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. The Enrollment Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Enrollment Professional 2 reviews reports and submits adjustments, additions, and deletions based on enrollment rules. Manage a daily mailbox. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Interact with both internal and external customers on a regular basis to implement new Medicare clients and provide ongoing enrollment support to meet the clients' enrollment and reporting needs after implementation. Ensure enrollment information is processed timely, accurately and in compliance with CMS guidelines. Provide enrollment data to clients to ensure all member data is kept in synch and all data discrepancies are resolved. Monitor numerous reports to analyze enrollment data and identify process gaps/system issues, and work with the appropriate parties to resolve any issues/process gaps in a timely manner.

Requirements

• 3 or more years of Medicare enrollment and/or customer service experience
• Demonstrated ability to analyze information, research problems, and determine and implement solutions
• Working knowledge of CI
• Excellent verbal and written communication skills
• Creative, innovative problem-solving skills
• Positive attitude/able to work in a team environment
• Organizational and multi-tasking skills
• Flexibility - ability to handle changing priorities and work under pressure to meet deadlines
• Comprehensive knowledge of Microsoft Word and Excel

Nice To Haves

• Group Medicare enrollment and/or customer service experience
• Knowledge of Medicare compliance guidelines
• Bachelor's degree
• AE/CRM/TSO experience
• Microsoft Access and PowerPoint
• Progressive experience managing small to mid-scale projects
• Consultative skills which include ability to assess, understand the consumer and make recommendations

Responsibilities

• Processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services.
• Reviews reports and submits adjustments, additions, and deletions based on enrollment rules.
• Manages a daily mailbox.
• Interacts with both internal and external customers on a regular basis to implement new Medicare clients and provide ongoing enrollment support to meet the clients' enrollment and reporting needs after implementation.
• Ensures enrollment information is processed timely, accurately and in compliance with CMS guidelines.
• Provides enrollment data to clients to ensure all member data is kept in synch and all data discrepancies are resolved.
• Monitors numerous reports to analyze enrollment data and identify process gaps/system issues, and works with the appropriate parties to resolve any issues/process gaps in a timely manner.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level