Eligibility Consultant Coordinator

2 weeks ago


Pittsburgh, Pennsylvania, United States Conflux Systems Full time
Job Overview

Position Title: Coordinator I - Associate Eligibility Consultant

Role Summary: The Enrollment Coordinators are essential in assisting new and existing Medicare member clients with enrollment processes and various inquiries.

Key Responsibilities:

  • Identify and manage different document types, ensuring they are directed to the appropriate processing areas.
  • Handle returned correspondence and update member addresses accordingly.
  • Consistently meet established quality and productivity benchmarks.
  • Adhere to work instructions related to enrollment tasks.
  • Utilize basic skills in MS Excel, MS Word, and Outlook.

Position Importance: This role is vital in ensuring compliance with the Center for Medicare/Medicaid Services (CMS) guidelines, focusing on accurate and timely customer support to facilitate member enrollment and retention.

Qualifications:

  • A minimum of 1 year of relevant experience with CMS guidelines for Medicare Part D enrollment processes or in a regulatory environment.
  • Dependable, responsible, and accountable with excellent verbal and written communication skills.
  • Able to navigate transitions while promoting a positive team atmosphere.
  • Confident decision-making abilities within strict timelines.
  • Exceptional organizational and prioritization skills, acting with integrity and sound judgment regarding confidential information.

Educational Requirements: A verifiable High School diploma or GED is required; a Bachelor's Degree in Marketing is preferred.



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