Healthcare - Medicare Enrollment Specialist

Sutherland • Dallas, TX

16h • Remote

About The Position

This is a full-time, permanent, work-at-home Data Entry Representative role based in the United States. The position is responsible for accurately entering and updating provider information in internal systems and health plan systems. Work includes validating provider credentialing, contract, and demographic data; reviewing and loading required information according to process guidelines; and maintaining records in compliance with CMS, HIPAA, and applicable state and federal regulations. The role also involves routine audits and reconciliations to support data integrity.

The specialist manages daily activities, meets established targets, and completes assigned work independently within required timeframes and with minimal supervision. They must prioritize job duties, adapt to departmental or business changes, and collaborate with supervisors and team members as needed.

Requirements

• Excellent written communication skills in English, with clarity and accuracy.
• Strong English reading and listening comprehension.
• Well-developed analytical, logical, and organizational abilities for problem-solving.
• Ability to prioritize tasks and process intakes accurately and on time.
• Attention to detail and ability to multitask in a fast-paced environment.
• Strong customer focus and commitment to exceptional service and support.
• Proficiency in Microsoft Office Suite and experience navigating web-based applications.
• Knowledge of medical terminology.
• Typing speed of at least 40 words per minute, with accuracy and efficiency.
• Hard-wired internet connection with at least 2 Mbps upload and 10 Mbps download; wireless and satellite internet providers are not compatible.
• A productive, secure, distraction-free work environment.
• High school diploma or equivalent.

Responsibilities

• Accurately enter, update, and maintain provider information in internal systems.
• Validate provider credentialing data, contracts, and demographic data.
• Ensure provider records comply with CMS, HIPAA, and state and federal regulations.
• Conduct routine audits and reconciliations to maintain data integrity.
• Review and load required data into the health plan system according to process guidelines.
• Manage and monitor daily activities and meet set targets.
• Work independently and complete tasks within established timeframes with minimal supervision.
• Prioritize and complete job duties and adapt to departmental or business changes.

Benefits

• Hourly pay of $13.50 with the opportunity to receive an additional PBI bonus of up to $1,500 per month.
• Paid training at the same rate as the hourly pay.
• Medical, dental, and vision plans.
• PTO; the posting invites applicants to ask about the Global Flexible Vacation Policy.
• Company-provided equipment.
• Advancement opportunities, with 80% of frontline leaders promoted from within.
• Monthly rewards and recognition programs.
• Employee discounts.
• EAP and health and wellness programs, including a personal trainer dedicated to Sutherland.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED