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
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