Get It Recruit – Healthcare Hiring for Medicare/Medicaid Enrollment Specialist – Remote | WFH at Indianapolis, IN Full Time

We are seeking a dedicated individual to join our team in a pivotal role, where you’ll engage with both new and existing Medicare member clients to facilitate enrollment processes and ensure compliance with regulatory standards set by the Center for Medicare/Medicaid Services (CMS). Your primary focus will be on delivering exceptional customer support to guarantee smooth member enrollment and retention.

Key Responsibilities

Process enrollment of Medicare members, handling both first-time enrollments and member modifications with precision and efficiency.

Effectively manage tasks in your work queue, including addressing missing information and processing changes to enrollment effective dates.

Interface with various system applications to conduct research and update them with pertinent enrollment actions and outcomes.

Provide support for additional enrollment functions, which may include updating Excel spreadsheets to monitor workflow on special assigned projects, conducting outbound enrollment verification calls to members, and assisting agents/brokers with inquiries regarding special needs (low-income) enrollment plans.

Perform post-enrollment functions such as assessing member-paid penalties.

Consistently meet monthly quality and productivity goals.

Adhere to established work instructions and guidelines.

Required Experience

Familiarity with Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and C.

Previous experience in enrollment processes or working in a regulatory environment is preferred.

Basic understanding of healthcare terminology and concepts, including HIPAA compliance.

Proficiency in Microsoft Office applications, particularly MS Excel, MS Word, and Outlook, with the ability to create and update Excel spreadsheets.

Join our team and contribute to our mission of providing top-tier support to Medicare members while ensuring compliance with regulatory standards. If you’re passionate about customer service and have the necessary skills and experience, we’d love to hear from you. Apply today to embark on an exciting career journey with us!

Employment Type: Full-Time