Enrollment Associate

🌍 Remote, USA 🚀 Full-time 🕐 Posted Recently

Job Description

Clever Care Health Plan is one of Southern California’s fastest-growing Medicare Advantage plans, dedicated to transforming the healthcare space. The Enrollment Associate is responsible for assisting with the enrollment process, supporting onboarding by collecting and verifying data, and ensuring a smooth enrollment experience for new members.

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

Skills

Associate's Degree or equivalent combination of education and experience
One (1) to three (3) years' experience in Medicare Managed Care
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 Word
Strong data entry skills (55 wpm preferred)
Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs
Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly
One (1) year experience with data entry and use of Microsoft Office
Knowledge of Medicare guidelines a plus

Company Overview

Clever Care Health Plan is a healthcare company that provides health insurance for medicare services. It was founded in 2018, and is headquartered in Huntington Beach, California, USA, with a workforce of 201-500 employees. Its website is https://clevercarehealthplan.com.

Apply To This Job