Medicare Enrollment Specialist

About the Role

This is a full-time, permanent, Work at Home role based in the United States.

Key Responsibilities

• Accurately enter, update, and maintain provider information in internal systems.
• Validate provider credentialing data, contracts, and demographic data to ensure accuracy.
• Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations.
• Conduct routine audits and reconciliations to maintain data integrity.
• Review and load the required data into the health plan system as per process guidelines.
• Manage and monitor daily activities and meet set targets.
• Work independently and complete tasks within the established timeframe with minimal supervision.
• Prioritize and complete all job duty requirements.
• Adhere to changes based on department and/or business needs.

Requirements & Tech Stack

• Proficiency in Microsoft Office Suite.
• Experience navigating web-based applications.
• Medical terminology knowledge.
• Typing speed of at least 40 words per minute, with accuracy and efficiency.
• Excellent internet connectivity, Hard-Wired.
• Internet access speed of 2 Mbps upload and 10 Mbps download.
• Productive and secure work environment, distraction-free.
• Company-provided equipment.

Qualifications

• Excellent written communication skills in English with strong clarity and accuracy.
• Strong reading and listening comprehension skills in English to effectively process requests.
• Well-developed analytical, logical, and organizational abilities for problem-solving.
• Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes.
• Keen attention to detail with the capability to multitask in a fast-paced environment.
• Strong customer focus, with a passion for delivering exceptional service and support.
• High School Diploma or equivalent.