Enrollee Support Specialist
4 weeks ago
Fallon Health Overview
Fallon Health is a company that cares. We prioritize our members' needs, making sure they get the care they need and deserve. With a history dating back to 1977, we've established ourselves as a leader in providing senior care solutions, including NaviCare, a Medicare Advantage Special Needs Plan and Senior Care Options program.
About the Role
We're seeking an Enrollee Service Representative to join our team. As an Enrollee Service Representative, you will be responsible for executing tasks in accordance with the Senior Care Option (SCO) contract requirements, CMS regulations, NCQA standards, departmental policies, and procedures.
Key Responsibilities
- Process enrollment applications and handle enrollee inquiries in a timely manner.
- Serve as a liaison between enrollees and FCHP with their concerns regarding Medicare/Medicaid benefits.
- Maintain accurate records of all interactions with enrollees.
Requirements
- Bachelor's degree or equivalent combination of education and experience.
- 1-3 years of previous professional experience in a related position, preferably in healthcare.
- Ability to communicate and present information to various levels of personnel.
- Working knowledge of computer programs and software.
Estimated Salary Range
$65,000 - $85,000 per year, based on experience.
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