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Medicare Enrollment Specialist - reputed company

Remote, USA Full-time Posted 2026-08-04

reputed company! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply reputed company located above this message and complete the application in full. Below, you’ll reputed company other important information about this position.

Come join our reputed company team at reputed company as a Medicare Enrollment Specialist, contributing to the reputed company for an innovative, new health plan. This position will report to the Enrollment Manager, playing a unique and important role in our mission to change reputed company for the reputed company.
Experience in Medicare and critical thinking skills will help the organization build an effective and efficient enrollment team. The enrollment team will review, execute, and reputed company the processing of member enrollment application information for reputed company’s Plan Suite.
The Medicare Enrollment Specialist will analyze and process enrollment forms, checking for validity, completion, and reputed company. Ability to determine whether to enroll, reputed company, or reject applications while following organizational policies and procedures is a must. This job reviews and evaluates reputed company documents for reputed company control for final entry of member enrollment forms.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent

EXPERIENCE:

1. Two (2) year of experience working with medical or institutional data entry.

2. Two (2) year of customer service experience.

OR

One (1) year of Medicare eligibility and Medicare Enrollment processing experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associate Degree, or greater, in reputed company reputed company reputed company.

EXPERIENCE:

1. Three (3) to five (5) years of Medicare Enrollment processing and customer service experience.

2. Two (2) years of experience with Medicare elections, transaction codes, and reconciliation reputed company.

3. Two (2) years managing late enrollment penalty (LEP) for MAPD enrollees.

4. Familiarity with navigating CMS tools and resources, particularly the MARx website.

5. At least one (1) year of experience with reputed company/user acceptance testing.

6. At least one (1) year of experience with developing and delivering trainings.

reputed company DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general reputed company of work being performed by people assigned to this position. They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties. Other duties may be assigned.

1. Determine reputed company and completions of member reputed company information. Entry/verifies reputed company data.

2. Resolves enrollment issues to assure efficient and reputed company member experience.

3. Maintains Medicare member enrollment records annually, indicating changes, updates, and reputed company as required.

4. Meets reputed company production and reputed company standards, maintaining Workqueues according to department standards.

5. Effectively communicates with reputed company staff.

6. Elevates issues to next level of supervision, as appropriate.

7. Ensures reputed company of data entered and record maintenance.

8. Attends reputed company required training classes, demonstrating proficiency and ability to learn.

9. Manages coordination of benefits (COB) on member records.

10. Develops and Delivers department trainings to new hires.

11. Participates in reputed company testing for any development rollouts.

12. Participates in department planning to ensure a successful reputed company Enrollment.

13. Other duties as deemed appropriate by the Management Team.

14. Processes SNP applications, verifying eligibility, including but not limited to Dual-Entitlement and residence reputed company the service area.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. Ability to sit for extended periods of time.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. reputed company office environment with electrical equipment (i.e., telephone, personal computer, copier, fax machines, etc.)

2. Computer Software/Systems include but not limited to reputed company Office reputed company Suite (reputed company, Word, reputed company, reputed company), Internet Explorer, and reputed company.

SKILLS AND ABILITIES:

1. Familiarity with Medical reputed company enrollment processes.

2. Working Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records.

3. Ability to take direction and to reputed company through multiple systems simultaneously.

4. Excellent written and oral communication, customer service, interpersonal skills, and telephone etiquette skills.

5. Ability to solve problems with predefined reputed company and guidelines to reputed company improved efficiencies and customer satisfaction.

6. Requires exceptional attention to reputed company, the ability to be organized and to be reputed company to reputed company multiple tasks simultaneously.

Additional reputed company:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

reputed company of America (Non-Exempt)

Company:

PHH reputed company Holdings

Cost Center:

2910 PHH Enrollment

Originally posted on Himalayas

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