Enrollment Coordinator
2 months ago
Job Title: Enrollment Coordinator
Target Compensation Range: $20.00 - $23.00/hour, depending on the level of relevant qualifications and experience.
About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
- Provide phone support and written correspondence for members and Medicare to confirm data accuracy and completeness.
- Verify and ensure beneficiary meets criteria to enroll per CMS guidelines.
- Conducting daily enrollment process based on Medicare regulations and guidelines.
- Identify, research, and resolve all issues related to enrollment.
- Responsible for entering and auditing enrollment applications into the member system, Dynamic.
- Use verified documents to ensure data accuracy and to establish requirements for any discrepancies.
- Perform administrative tasks including, but not limited to: scanning, filing, and attaching member record files to the system, etc.
- Responsible for generating ID cards, creating enrollment kits, mailing, and maintaining inventory.
- Outreach to contact provider offices to verify chronic conditions: by phone, by fax, and email if applicable.
- Maintaining member logs, tracking for C-SNP conditions and generating members’ reports.
- Regular and consistent attendance
- Other duties as assigned
EDUCATION and/or EXPERIENCE:
- Associate’s Degree or equivalent work experience in a health plan environment.
- Minimum 1 year of experience in a clerical or administrative role
- Proficiency in Microsoft Excel and Word
- Strong communication skills
BENEFITS:
- 401(k)
- Dental Insurance
- Health Insurance
- Life Insurance
- Vision Insurance
- Paid Time Off
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