Insurance Enrollment Counselor

West Coast Wound•Burbank, CA

2d•Hybrid

About The Position

Overview An established wound care organization located in Los Angeles County is actively recruiting a meticulous and seasoned Medicare Insurance Enrollment Counselor to become part of our healthcare team. We are seeking a results-driven, customer-focused Medicare Enrollment Counselor with Medicare enrollment experience to guide clients through the traditional Medicare enrollment and Medicare Advantage disenrollment process. Explains supplemental plan options and assist with plan selection and Part D enrollment. This is a full-time role that requires excellent people skills and sales closing skills, strong compliance awareness, and the ability to work in a fast-paced, customer-centered environment.

Requirements

High school diploma or equivalent; bachelor’s degree preferred.
Knowledge of Medicare program rules, plan structures (Original Medicare, Medicare Advantage, Part D, Medigap), and enrollment periods.
Attention to detail and strong data entry accuracy for enrollments and policy records.
Problem-solving skills and the ability to handle objections professionally.
Willingness to travel to client meetings or community events as needed (varies by employer).
Essential: Minimum one year of Medicare Enrollment experience within skilled nursing facilities or long-term care environments
Required: At least one year of experience with Medicare, Medicaid, Medicare, HMO, and additional insurance eligibility and health plan enrollment knowledge

Nice To Haves

Bilingual abilities may be a plus depending on client population.
Preferred: Familiarity with Point Click Care (PCC) billing system operations
AHIP or equivalent Medicare training certification is highly desired but not a condition for employment.

Responsibilities

Meet with prospective and current clients to assess Medicare eligibility, needs, and preferences; explain options (Original Medicare, Medicare Advantage, Part D, Medigap) in clear, understandable terms.
Assist clients with enrollment applications and changes (e.g., initial enrollment, Annual Enrollment Period, special enrollments) and ensure timely, accurate submission to the appropriate carriers or CMS portals.
Maintain up-to-date knowledge of Medicare rules, plan benefits, premiums, networks, and formulary changes; communicate updates to clients as needed.
Interpret and explain plan costs, coverage levels, premiums, deductibles, copays, and out-of-pocket maximums.
Perform contract and credentialing tasks as required (e.g., licensing and certifications) and maintain all state and federal compliance requirements.
Conduct needs-based sales conversations while adhering to CMS policies and company compliance standards.
Schedule and conduct outreach (phone, virtual, or in-person) to generate interest, educate clients, and close enrollments.
Coordinate with licensed agents or brokers as needed; collaborate with customer service, underwriting, and policy administration teams to resolve issues.
Prepare and deliver client-facing materials, quotes, and enrollment confirmations; provide ongoing support during the first enrollment year and during any plan changes.
Ensure privacy and security in accordance with HIPAA and company policies.