Enrollment Representative

Accurately, enter, review, and update enrollment applicationsVerify applicant eligibility for Medicare Advantage Plans, ensuring compliance with CMS guidelinesReview applications for completeness, required documents, and accuracy before submissionProcess plan changes, denials, and special election request as applicableMaintain up-to-date knowledge of CMS enrollment guidelines, HIPAA requirements, and company policiesIdentify, document, and escalate enrolment discrepancies or errors in accordance with compliance protocolsPerform qualify check on one's own work to meet accuracy metricsRespond to internal inquiries from agents, brokers, and customer service teams regarding enrollment statusProvide clear, professional communication to resolve application issues in a timely mannerCollaborate with internal departments to ensure prompt resolution of enrollment-related issuesConsistently meet or exceed productivity, accurate, and timeliness goals for enrollment processing (metrics = processing 80-110 applications, about 8-10/hour, they will ramp them to this)Track daily work volumes, turnaround times, and error rates in line with department performance standardsWhile the main function of this role is data entry - they will need to occasionally make outbound call to obtain missing information - while it's limited, they need to be comfortable with making outbound calls* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).