What are the responsibilities and job description for the Medicare Enrollment Specialist position at Imperial Health Holdings?
Company Overview
Imperial Health Holdings is a leading provider of Medicare Advantage plans, approved by the California Department of Managed Health Care. Our mission is to deliver valuable care that promotes the health and well-being of our members, enabling them to achieve their full potential.
Summary
We are seeking a Membership Representative to join our dynamic team at Imperial Health Holdings. Your contributions will directly impact our mission to provide exceptional healthcare services. This is a on site role in Pasadena.
Responsibilities:
1. Answers phone calls and written questions, concerns, and complaints regarding membership.
2. Daily data entry of enrollment applications in the member database M360.
3. Processes provider-member termination and issues notices.
4. Provides information on membership fees (if applicable), policies, processes, benefits, products, and services.
5. Actively listens to members and identifying their needs and investigating and resolving membership and payment issues (as needed).
6. Assesses member eligibility and providing benefit related information to members and/or providers.
7. Documents all inquiries and maintaining accurate membership records in plans database(s).
8. Maintains knowledge levels with respect to CMS and states regulations
9. Ensuring that the relevant enrollment information is captured in Wipro M360.
10. Assist in identifying and solving member/agent needs, issues and inquiries.
11. Adheres to payroll policies and properly uses timekeeping system with minimal manual changes.
12. Maintains regular and consistent attendance.
13. Adheres to Compliance Plan and HIPAA regulations.
Understanding and knowledge of enrollment elections prior to enrollment submission to CMS.
Knowledge of Retro Processing Contractor standard operating procedures.
Knowledge of Chapter 2 Enrollment & Disenrollment
If you are passionate about making a difference in people's lives through healthcare, we invite you to apply for the Membership Representative position at Imperial Health Holdings today!
Job Type: Full-time
Pay: $21.00 - $24.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Call center: 1 year (Required)
- Medicare or MediCal: 1 year (Required)
Ability to Commute:
- Pasadena, CA 91106 (Required)
Work Location: In person
Salary : $21 - $24