Job Description
Description
As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment requests.
You will:
+ Review and submit Enrollment requests received as well as maintaining accuracy and timeliness of acknowledgment notices to members
+ Maintain open lines of communication with various departments to resolve member issues and implement ADHOC resolutions to sustain quality member care
+ Use Key Performance Indicator's (KPIs) to identify trends and risks; manage service and Operating Level Agreement metrics/reporting and present findings
+ Review Medicaid Aid codes and their corresponding Medicaid level and interpretation for department processes.
+ Ensure quality and compliance to meet applicable guidelines; ensure timely, accurate and complete submissions to CMS - Medicare
+ Identifies continuous improvement initiatives to streamlin...
As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by reviewing and submitting enrollment requests.
You will:
+ Review and submit Enrollment requests received as well as maintaining accuracy and timeliness of acknowledgment notices to members
+ Maintain open lines of communication with various departments to resolve member issues and implement ADHOC resolutions to sustain quality member care
+ Use Key Performance Indicator's (KPIs) to identify trends and risks; manage service and Operating Level Agreement metrics/reporting and present findings
+ Review Medicaid Aid codes and their corresponding Medicaid level and interpretation for department processes.
+ Ensure quality and compliance to meet applicable guidelines; ensure timely, accurate and complete submissions to CMS - Medicare
+ Identifies continuous improvement initiatives to streamlin...
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