Enrollment Specialist
Contract W2, Contract Independent, Contract Corp-To-Corp, 12 Months
Depends on Experience
Hi,
One of our clients is looking for Enrollment Specialist in Tampa, FL.
Title: Enrollment Specialist
Location: Tampa, FL
Duration: 12 Months
PRINCIPAL RESPONSIBILITIES AND DUTIES:
• Ensure the accuracy and timeliness of processing enrollments and disenrollment in compliance within Medicare and Medicaid regulations and Beacon policies and
• Process daily applications and disenrollment received via the various sources in the membership systems for daily transmission to
• Assist with daily reviews and processing of the Daily Transaction Reply Report (DTRR).
• Assist with tracking and oversight of CMS OEC, Auto and Facilitated web-based
• Research and responds to all internal and external customer
• Generate appropriate correspondence to outreach to members request, as
• Performs root cause analysis to determine issues related to member inquiry and or system
• Initiate phone interactions with members to issue
• Attention to detail is critical to the success of this position, with skills in customer
• Accurately enter COB for timely and accurate claims adjudication
• Assist mailroom with processing Return
• Adhere to productivity, quality and compliance
• Identifies issue trends and opportunities for
• Be a supportive and collaborative team
EXPERIENCE AND REQUIRED SKILLS:
• Demonstrates good organizational, interpersonal, leadership and communication
• Knowledge of Medicare Advantage Guidelines per CMS Chapter 2, and knowledge of transactions between CMS and health
• Excellent oral and written communication skills including good grammar, voice and
• Able to read and interpret
• Proficient in MS Office with basic computer and keyboarding skills (40wpm).
• Detail oriented and highly
• Excellent customer service skills (friendly, courteous and helpful).