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Medicare Enrollment Coordinator

JOB SUMMARY:

Responsible for administering enrollment applications, adhering to CMS procedures and tracking outcomes for the MAPD Plan. Will be responsible for the review, preparation and submission of MAPD applications for a relatively new plan preparing for sustained growth.  Must be familiar with CMS guidelines surrounding enrollment procedures, and possess knowledge and understanding of the regulatory environment under which such plans operate.

 

PRIMARY RESPONSIBILITIES:

  • Review, prepare, and submit enrollments in CMS database.
  • Verify information through the CMS database.
  • Process enrollment, reinstatement, and disenrollment applications.
  • Maintain daily lists of all applications pending for accretion period.
  • Assist in preparation of paperwork for CMS and DOH audits.
  • Communicate to outside vendor(s) for appointment updates and requests for marketing materials.
  • Work within Enrollment and with Marketing Department to ensure guidelines are properly followed for enrollment procedures.
  • Communicate with Sales staff about problem or incomplete applications.

 

Education and Experience:

 

Education

Required:

HS Diploma

Preferred: 

Bachelor Degree in Healthcare or related field

 

Type of Experience                                          

Required:   

2 years’ experience administering Medicare enrollments

Preferred:  

 

Specific Technical Skills

Preferred: 

Proficiency with Microsoft Office applications (Word, Excel, Outlook)

 

 

 

 

 

 

 

 

 

 

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