Medicare Enrollment Specialist

A company is looking for an Enrollment Specialist responsible for processing Medicare and Medicaid beneficiary enrollments.

Key Responsibilities

Process and maintain enrollment eligibility in compliance with Medicare and Medicaid regulations

Interact with internal and external customers to resolve inquiries and ensure compliance with CMS requirements

Conduct root cause analysis for member inquiries and identify opportunities for improvement

Required Qualifications

High school diploma or GED required

Minimum one year of related experience preferred

Knowledge of Medicare Advantage Guidelines and CMS transactions

Proficiency in MS Office with basic computer skills

Ability to work effectively in a team environment