Current jobs related to Medicare Advantage Enrollment Representative - Los Angeles, California - UCLA Health
-
Medicare Insurance Sales Representative
3 weeks ago
Los Angeles, California, United States AMBA Full timeAbout the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping seniors navigate the complexities of Medicare and find the right health insurance plan to meet their needs.Key ResponsibilitiesWork with seniors to determine their eligibility for Medicare benefits and help them choose a plan that meets their needs.Collaborate...
-
Medicare Advantage EDI Specialist
1 month ago
Los Angeles, California, United States UCLA Health Full timeJoin a Leading Health OrganizationBe a key player in a prestigious health institution. Enhance the operational efficiency of a multifaceted healthcare system. Elevate your professional skills to new heights. This opportunity awaits you at UCLA Health.As a vital member of our Medicare Advantage Operations team, you will play a crucial role in overseeing and...
-
Medicare RN Care Coordinator
4 weeks ago
Los Angeles, California, United States Welcome Health, Inc Full timeRN Case Manager for Medicare PatientsWelcome Health is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to significantly enhance access to and quality of care for members...
-
Medicare RN Care Coordinator
1 month ago
Los Angeles, California, United States Welcome Health, Inc Full timePosition Overview: RN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for older adults. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily partner with Medicare Advantage plans to significantly enhance access to and quality...
-
Medicare RN Care Coordinator
4 weeks ago
Los Angeles, California, United States Welcome Health, Inc Full timeRN Case Manager for Medicare BeneficiariesWelcome Health is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is grounded in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to significantly enhance access to and quality of care for...
-
Medicare RN Care Coordinator
4 weeks ago
Los Angeles, California, United States Welcome Health, Inc Full timeRN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for senior citizens. Our care model is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to improve access and elevate the quality of care for members...
-
Healthcare Enrollment Services Representative II
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Solution Center Enrollment Services Representative II is responsible for ensuring the accuracy and integrity of member data in our core system. This includes auditing and updating provider and plan partner assignments, member demographics, and troubleshooting complex issues across all lines of business.This role requires strong...
-
Medicare RN Care Coordinator
4 weeks ago
Los Angeles, California, United States Welcome Health, Inc Full timePosition Overview: RN Case Manager for Medicare PatientsWelcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for older adults. Our approach is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to improve both access to and quality of care for...
-
Healthcare Enrollment Services Representative II
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Solution Center Enrollment Services Representative II is a key member of our team at L.A. Care Health Plan, responsible for ensuring the accuracy and integrity of member data in our core system. This role involves auditing, researching, and updating member information, as well as troubleshooting complex issues related to member...
-
Medicare Pricing Expert
3 weeks ago
Los Angeles, California, United States SpeakEZ Virtual Solutions LLC Full timeJob SummaryWe are seeking a highly skilled Senior Actuarial Analyst to join our team at SpeakEZ Virtual Solutions LLC. As a key member of our actuarial team, you will play a critical role in developing and maintaining actuarial models for Medicare Advantage plans.Key ResponsibilitiesActuarial Modeling: Develop and maintain complex actuarial models to analyze...
-
Medicare RN Case Manager
4 weeks ago
Los Angeles, California, United States Welcome Health, Inc Full timePosition: RN Case Manager for Medicare PatientsWelcome Health is a pioneering primary care organization committed to enhancing healthcare for older adults. Our approach is grounded in the principles of geriatric medicine. As a risk-bearing entity, we primarily partner with Medicare Advantage plans to significantly enhance access to and quality of care for...
-
Medicare Insurance Sales Consultant
4 weeks ago
Los Angeles, California, United States Simpler Horizons Insurance Solutions Full timeJob Overview** Candidates must possess an active California Insurance License and a minimum of 2 years of experience in selling Medicare policies to qualify for this position.**Simpler Horizons Insurance Solutions is committed to demystifying the intricacies of Medicare and insurance for our clients. Our goal is to deliver tailored and informed guidance to...
-
Insurance Sales Specialist for Medicare
4 weeks ago
Los Angeles, California, United States Simpler Horizons Insurance Solutions Full timeJob Overview** Candidates must possess an active California Insurance License and a minimum of 2 years of experience in selling Medicare policies to qualify.**Simpler Horizons Insurance Solutions is committed to demystifying the intricacies of Medicare and insurance for our clients. Our goal is to deliver tailored and informed guidance to assist clients in...
-
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Customer Solution Center Enrollment Services Representative II plays a critical role in ensuring the accuracy and integrity of member data in our core system. This position is responsible for auditing, researching, and updating member data, including provider and plan partner assignments, member demographics, and troubleshooting complex...
-
Enrollment Coordinator I
4 weeks ago
Los Angeles, California, United States APLA Health Full timeJob OverviewLocationAPLA HealthEmployment TypeFull TimeEducation RequirementGEDCompensation$28.43 HourlyTravel RequirementUp to 25%ShiftDayCategoryHealth CarePosition Summary:Under the supervision of the Enrollment & Eligibility Manager, and in alignment with HRSA contract obligations, the Enrollment Coordinator I supports clients, either directly or through...
-
Provider Enrollment Specialist
5 days ago
Los Angeles, California, United States University of California Full timeUnlock Your Potential in Provider EnrollmentTake your career to the next level as a key member of our award-winning healthcare team. As a Provider Enrollment Specialist, you will play a vital role in elevating the operational efficiency of our world-class healthcare leader.In this exciting role, you will facilitate the enrollment of physicians and...
-
Senior Healthcare Consultant
3 weeks ago
Los Angeles, California, United States AMBA Full timeAbout the RoleAs a Medicare Sales Representative at AMBA, you will play a vital role in helping individuals navigate the complexities of Medicare and find the right plan to meet their needs.Key ResponsibilitiesWork with seniors and other eligible individuals to determine their Medicare benefits and choose a healthcare plan that suits their needs.Meet with...
-
Bilingual Customer Experience Representative
3 weeks ago
Los Angeles, California, United States NxT Level Full timeAbout the RoleNxT Level is seeking a highly skilled and compassionate Bilingual Member Experience Associate to join our team. As a key member of our customer service team, you will play a vital role in ensuring our clients' Medicare members receive exceptional support and care.Key ResponsibilitiesMember Support: Provide outreach and support to Medicare...
-
Enrollment Specialist
5 days ago
Los Angeles, California, United States Titan Management Inc Full time{"h1":"Enrollment Representative Role at Titan Management Inc"} Job Summary The Enrollment Representative is a crucial role at Titan Management Inc, responsible for maintaining relationships with our network of service providers and community members. As a key member of our team, you will work closely with our Managers to support our mission of...
-
Customer Service Representative
2 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeAbout the RoleWe are seeking a highly skilled Customer Solution Center Enrollment Services Representative II to join our team at L.A. Care Health Plan. As a key member of our enrollment services team, you will be responsible for ensuring the accuracy and integrity of member data in our core system.Key ResponsibilitiesAudit and research inbound eligibility...
Medicare Advantage Enrollment Representative
3 months ago
This role is responsible for all aspects of enrollment:
- Reviews and submits Enrollment requests received as well as maintaining accuracy and timeliness of acknowledgment notices to members
- Maintains open lines of communication with various departments to resolve member issues and implement ADHOC resolutions to sustain quality member care
- Uses Key Performance Indicator's (KPIs) to identify trends and risks; manage service and Operating Level Agreement metrics/reporting and present findings
- Reviews Medicaid Aid codes and their corresponding Medicaid level and interpretation for department processes.
- Ensures quality and compliance to meet applicable guidelines; ensure timely, accurate and complete submissions to CMS – Medicare
- Identifies continuous improvement initiatives to streamline processes, reduce member complaints and improve the overall member experience
- Ensures that prospective enrollees are appropriately screened to meet eligibility requirements within regulatory timelines
- Works closely with the Sales and Compliance teams to ensure timely submissions and resolution of eligibility issues, as well as departmental goals and quality goals are met
- Ensures the required member mailings are sent in a timely fashion
- Other duties as assigned
Salary Range: $ $30.74 Hourly
Note: This posted position is 1 of 3 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions. QualificationsWe're seeking detail-oriented, self-directed professional with:
- High School Diploma or equivalent experience required
- Experience in a Medicare or Managed Care environment, Member Enrollment and Billing experience preferred
- Ability to analyze and organize complex federal and private insurance regulations
- Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
- Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines
- Strong critical thinking and the ability to apply knowledge at a broad level is essential
- Reliability and compliance with scheduling standards
