Healthcare Enrollment Analyst

Dallas, TX, US • Posted 3 days ago • Updated 3 days ago
Full Time
On-site
Depends on Experience
Fitment

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Job Details

Skills

  • Enrollment
  • Medicare parts A/B/D
  • CMS Guidelines
  • HIPPA

Summary

Job Description:
Role - QA Healthcare Enrollment Analyst
Exp - 1-3 yrs
Location - Dallas, TX or Remote is fine
Key Responsibilities
  • Application Processing: Accurately input new enrollment applications, renewals, and modifications into company and government systems, such as the Medicare Online Enrollment Center (OEC).
  • Eligibility Verification: Review applicant information to verify eligibility requirements are met, identifying gaps in documentation.
  • Member Communication: Act as a liaison to beneficiaries or providers to answer questions, obtain missing information, and confirm enrollment status.
  • Compliance and Reporting: Ensure all actions comply with CMS guidelines; generate reports to identify, track, or fix enrollment errors.
  • Record Maintenance: Maintain and update sensitive member data and documentation, including NPI files and Medicare 855A forms
Required Skills and Qualifications
  • Knowledge: Understanding of Medicare parts A/B/D, Medicare Advantage, and Medicaid eligibility.
  • Technical Skills: Proficiency in Microsoft Office (Excel) and database management software. Preferably experience in Market Prominence, HRP
  • Administrative Skills: Exceptional data entry, attention to detail, and ability to manage high-volume paperwork.
  • Communication: Strong verbal and written skills for communicating with seniors or providers
Typical Experience
  • 1 3 years in health insurance, enrollment, or administrative roles within healthcare.
  • High school diploma or equivalent; higher education is often preferred
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 90915265
  • Position Id: 8926906
  • Posted 3 days ago
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