Current jobs related to Medicare Member Enrollment Representative - Somerville, Massachusetts - Mass General Brigham


  • Somerville, Massachusetts, United States Mass General Brigham Full time

    Job Title: Medical Director, Medicare and Special Investigations UnitMass General Brigham Health Plan is seeking a highly skilled Medical Director to lead our Medicare and Special Investigations Unit. As a key member of our leadership team, you will be responsible for providing clinical oversight and leadership for our Medicare Advantage line of business.Key...


  • Somerville, Massachusetts, United States Mass General Brigham Health Plan Full time

    Job SummaryWe are seeking a highly skilled Medical Director to lead our Medicare and Special Investigations Unit. As a key member of our team, you will be responsible for providing clinical oversight and leadership for our Medicare Advantage line of business. This role requires a strong understanding of healthcare systems, providers, and insurance billing...


  • Somerville, Massachusetts, United States Naveo Credit Union Full time

    Job Title: Member Service RepresentativeNaveo Credit Union is seeking a highly skilled and customer-focused Member Service Representative to join our team. As a key member of our branch team, you will be responsible for providing exceptional service to our members, ensuring their financial needs are met, and promoting our products and services.Key...


  • Somerville, Massachusetts, United States Mass General Brigham Health Plan Full time

    Job SummaryWe are seeking a highly skilled Clinical Manager, Utilization Management to join our team at Mass General Brigham Health Plan. As a key member of our Utilization Management department, you will be responsible for overseeing the operational management of Medicare utilization management operations, ensuring compliance with regulatory requirements,...


  • Somerville, Massachusetts, United States Domino's Franchise Full time

    Job OverviewWe're seeking a talented Customer Service Representative to join our team at Domino's Franchise. As a key member of our customer-facing team, you'll be responsible for providing exceptional service to our customers, ensuring their satisfaction with every interaction.Key ResponsibilitiesRespond to customer inquiries and resolve issues in a timely...


  • Somerville, Massachusetts, United States Domino's Franchise Full time

    Job OpportunityWe're on the hunt for talented individuals to join our dynamic team at Domino's Franchise. As a Customer Service Representative, you'll be the face of our brand, providing top-notch service to our customers and ensuring their satisfaction with every interaction.About the RoleThis is a fantastic opportunity for those who enjoy working in a...


  • Somerville, Massachusetts, United States Comparion Insurance Agency Full time

    Insurance Sales Representative OpportunityWe are seeking a highly motivated and driven Insurance Sales Representative to join our team in Boston. As a Sales Agent, you will be responsible for building and leveraging a strong local network and in-person relationships in the community to connect members of the local community with insurance solutions to meet...


  • Somerville, Massachusetts, United States Century Linen & Uniform Full time

    Job SummaryAs a key member of Century Linen & Uniform's customer care team, the Customer Service Representative plays a vital role in delivering exceptional customer experiences. This position involves effectively managing customer interactions, providing administrative support, and contributing to the overall success of the organization.Key...


  • Somerville, Massachusetts, United States RWJBarnabas Health Full time

    Job Title: Patient Services RepresentativeWe are seeking a highly organized and detail-oriented Patient Services Representative to join our team at RWJBarnabas Health. As a key member of our healthcare team, you will be responsible for ensuring patient satisfaction and efficient operations.Key Responsibilities:Prepare for patient visits, triage practice...


  • Somerville, Massachusetts, United States RWJBarnabas Health Full time

    Job Title: Patient Services RepresentativeWe are seeking a highly organized and detail-oriented Patient Services Representative to join our team at RWJBarnabas Health. As a key member of our healthcare team, you will be responsible for ensuring patient satisfaction and efficient operations.Key Responsibilities:Prepare for patient visits, triage practice...


  • Somerville, Massachusetts, United States Sharecare Full time

    Job Title: On-Site Customer Service Representative At Sharecare, we're dedicated to making high-quality care more accessible and affordable for everyone. As an On-Site Customer Service Representative, you'll play a vital role in delivering exceptional customer experiences and supporting our members and providers. Job Summary: The On-Site Customer Service...

  • Board Member

    4 weeks ago


    Somerville, Massachusetts, United States Love without Violence, Inc. Full time

    Join Our Board of DirectorsLove without Violence, Inc. is seeking dedicated individuals to contribute to our Board of Directors. As a board member, you will play a pivotal role in shaping the strategic direction of our nonprofit organization, which is dedicated to raising awareness about domestic violence, supporting survivors, and promoting healthy...


  • Somerville, Massachusetts, United States Community Credit Union Full time

    Job SummaryWe are seeking a highly skilled and customer-focused Customer Service Representative to join our team at Community Credit Union. As a key member of our team, you will be responsible for providing exceptional service to our members, handling transactions, and promoting our products and services.Key Responsibilities:Provide exceptional customer...


  • Somerville, Massachusetts, United States Triumvirate Environmental Full time

    Business Development RepresentativeTriumvirate Environmental, a leading environmental services firm in North America, is seeking a Business Development Representative to join our Corporate office in Somerville, MA. As a key member of our sales team, you will be responsible for identifying and pursuing new business opportunities, building relationships with...


  • Somerville, Massachusetts, United States Randstad Full time

    Job Title: Customer Service RepresentativeRandstad, in partnership with Mass General Brigham, is seeking a skilled Customer Service Representative to join their call center team. As a key member of the team, you will be responsible for providing exceptional customer service to patients and families, ensuring a positive experience through professional,...


  • Somerville, Massachusetts, United States Naveo Credit Union Full time

    At Naveo Credit Union, we are seeking a dedicated Member Service Representative to serve as a liaison between our members and the Credit Union.This role involves providing account information and managing the financial needs of our members in a professional, timely and warm manner, executing a variety of transaction services to members.Key...


  • Somerville, Massachusetts, United States Sharecare Full time

    Job Summary:The Customer Service Representative plays a vital role in delivering exceptional customer experiences by providing timely and accurate support to members and providers. This role involves handling inbound calls, emails, and other communication channels to address customer inquiries, resolve issues, and promote Sharecare's programs and...


  • Somerville, Massachusetts, United States Lucky Strike Full time

    Customer Service RepresentativeAt AMF, we're looking for a friendly and welcoming Customer Service Representative to join our team. As a key member of our front-of-house staff, you'll be responsible for providing exceptional customer service to our guests, ensuring they have an enjoyable experience at our entertainment center.Key Responsibilities:Provide...


  • Somerville, Massachusetts, United States Della Infotech Full time

    Join Our Team as a Clinical Review SpecialistAt Della Infotech, we are seeking a highly skilled Clinical Review Specialist to join our team. As a key member of our healthcare team, you will play a vital role in ensuring that our members receive the highest quality care.Key Responsibilities:Utilize clinical knowledge to analyze and assess medical necessity...


  • Somerville, Massachusetts, United States CENTURY LINEN & UNIFORM LLC Full time

    Job SummaryAs a key member of Century Linen & Uniform LLC's customer care team, the Customer Service Representative plays a vital role in delivering exceptional customer experiences. This position involves effectively managing customer interactions, providing administrative support, and ensuring seamless communication across the organization.Key...

Medicare Member Enrollment Representative

2 months ago


Somerville, Massachusetts, United States Mass General Brigham Full time
About the Role

We are seeking a highly skilled and detail-oriented Medicare Member Enrollment Representative to join our team at Mass General Brigham. As a key member of our Member Enrollment Team, you will play a critical role in ensuring the accurate and timely enrollment of Medicare members into our health plan.

Key Responsibilities
  • Enroll and bill Medicare members, including entering information into our health plan's enrollment systems and resolving discrepancies.
  • Manage outgoing and incoming extracts, including ID cards for Medicare members, to ensure accurate data is sent.
  • Assist with commercial and MassHealth enrollment-related tasks, as needed, to ensure a seamless experience for our members.
  • Provide exceptional customer service to internal clients, including IT, Customer Services, Sales, Claims, Product, and Finance teams.
  • Assist with monthly reconciliation, special projects, and researching discrepancy reports.
  • Help implement paperless processes and other general administrative duties as assigned.
Requirements
  • High school diploma or equivalent, plus 3 years of related health plan experience, or 1-3 years in a customer service environment.
  • Enrollment experience with a Medicare Advantage product is highly preferred.
  • Excel/reporting background and college degree preferred.
What We Offer

As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment that values innovation, collaboration, and patient-centered care. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.