Enrollment Representative Medix Los Angeles
Overview
Enrollment Representative at Medix in Orange, CA focuses on processing Medicare Advantage plan enrollments with emphasis on data accuracy and timely submissions. This role involves reviewing applications verifying eligibility and collaborating with internal teams while offering growth opportunities and hybrid work options.
What You'll Do12
- 1Accurately enter review and update enrollment applications in a timely manner
- 2Verify applicant eligibility for Medicare Advantage Plans ensuring CMS and HIPAA compliance
- 3Review applications for completeness required documentation and accuracy before submission
- 4Process plan changes denials and special election requests as applicable
- 5Identify document discrepancies and escalate them following compliance protocols
- 6Perform quality checks on work to meet established accuracy metrics
- 7Maintain up-to-date knowledge of CMS enrollment guidelines and company policies
- 8Respond to internal inquiries from agents brokers and customer service teams about enrollment status
- 9Provide clear professional communication to resolve application issues promptly
- 10Collaborate with internal departments to ensure efficient resolution of enrollment problems
- 11Track daily work volumes turnaround times and error rates according to performance standards
- 12Make occasional outbound phone calls to gather missing information
Requirements6
- 1High school diploma GED or official transcripts
- 21+ years of data entry experience with strong business office skills
- 3Computer proficiency basic computer literacy
- 4Comfort making occasional outbound phone calls
- 5Strong attention to detail reliability and metrics-driven mindset
- 6Preferred experience in healthcare administrative settings such as call centers data entry health insurance or Medicare Advantage
Salary Insight
$44 - $46k per year
Location
Required Skills
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