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Strong analytical skills, knowledge of health plan operations including medical management, enrollment, claims, EDI transaction processing, knowledge of Medicare and Medicaid plans, financial reconciliation and IT/ Data systems knowledge.
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Experience in processes related to submitting medical claims, including but not limited to Medicare submission, knowledgeable in EOB (explanation of benefits), remittance advice and adherence to timely filing limits.
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Minimum 5-year experience working in a Medicare Advantage program interacting with Agencies and brokers. Assist clients with policy enrollment, claims processing, and policy renewals. We have over 20 years' experience in Insurance marketing while serving our local communities with Medicare, Individual, Group Health, Life, and Annuity products.
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The Patient Assistance Counselor maintains a thorough knowledge of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources.
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You will also educate and assist customers with their Medicare enrollment and eligibility and provide excellent customer service and support. Assist customers with the Medicare enrollment process and answer any questions or concerns they may have.
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Medicare knowledge required with minimum of one year of Medicare sales and one Annual Enrollment Period preferred. As a Medicare Sales Agent (internally titled Advocate Agent) you'll enjoy unlimited earning potential, the convenience to work from home, access to best-in-class paid training, and potentially the opportunity to move into a leadership role.
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The Enrollment Coordinator will work closely with the Utilization Coordinator, Authorization Coordinator and CPR Instructors to facilitate the enrollment process. Furthermore, it is expected that the Enrollment Coordinator will contact families, clients and the appropriate Regional Center once the care provider is approved to start providing services.
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Supervisory experience in enrollment processing or call center environment, or 2+ years related work experience with back office enrollment and reconcillation processing. Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for their members.
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Optional enrollment options include HSA/FSA, AD&D, Spousal/Dependent life insurance, Short Term/Long Term Disability, Travel Assist, and Legal plans. Sales Agents begin their career in a blended instructor-led classroom and hands-on training environment to become an expert in Medicare.
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Industry Knowledge:Strong knowledge of medical terminology, eligibility and enrollment requirements for Medicare, Medi-Cal, Workers’ Comp, Managed Care (HMO, PPO, POS, etc.) Industry Knowledge:Strong knowledge of medical terminology, eligibility and enrollment requirements for Medicare, Medi-Cal, Workers’ Comp, Managed Care (HMO, PPO, POS, etc.
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A Medicare Sales Representative focuses on helping people who are eligible for Medicare find a plan that meets their needs and aids them with the enrollment process. What Does a Medicare Sales Representative Do.
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Experience working for a large, health insurance sales team or Medicare Sales Direct Marketing Organizations (field or telesales) preferred. Develops plans and tactics to ensure new patient acquisition; specific strategies and tactics for AEP, OEP and SEP enrollment periods.
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Must possess active Medicare/Medicaid Enrollment or be eligible to enroll. Active Drug Enforcement Agency (DEA) registration or be eligible for registration. Comfortable with Electronic Medical Record (EMR) system; Athena preferred.
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JOB DUTIESDescriptionA member of the Medicare Advantage Operations leadership team, the Medicare Advantage Enrollment Supervisor is responsible for leading and supervising the day-to-day enrollment operations.
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The Intermediate Medicare Enrollment Processor will report to the Medicare Enrollment team supervisor. The Medicare Enrollment team handles all aspects of the Medicare enrollment process.
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medicare enrollment jobs
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