Enrollment Associate

Clever Care Health Plan is one of Southern California’s fastest-growing Medicare Advantage plans, dedicated to transforming the healthcare space. The Enrollment Associate is responsible for assisting with the enrollment process, supporting onboarding by collecting and verifying data, and ensuring a smooth enrollment experience for new members.ResponsibilitiesResponding to internal and external customer inquiriesAddressing and resolving issues, questions and/or concerns regarding enrollment through claims, call tracking, or e-mailCreating and maintaining records in the eligibility transactional systemEntering enrollment applications into the company’s database systemProcess enrollment and dis-enrollmentsVerify enrollment status with clientsResearch and resolve enrollment system rejectionsWorks with colleagues to resolve exceptions and takes appropriate action to ensure members are properly enrolledMaintain records in the enrollment databaseManage and maintain member eligibility change dataConducts daily and monthly reconciliation of filesVerifies accuracy of entered data against sourced documentsOther duties as assignedSkillsAssociate's Degree or equivalent combination of education and experienceOne (1) to three (3) years' experience in Medicare Managed CareMust be well-organized and detail orientatedProfessional demeanor, with strong and excellent customer service skillsFast-learnerAbility to work in multiple computer systemsAbility to enter and retrieve data using standardized keyboard functionsAbility to read and interpret technical procedures or government regulationsAbility to write basic correspondence and perform basic arithmeticAdaptability to changeProficient in Microsoft Excel and WordStrong data entry skills (55 wpm preferred)Must be able to travel when needed or requiredAbility to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbsAbility to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quicklyOne (1) year experience with data entry and use of Microsoft OfficeKnowledge of Medicare guidelines a plusCompany OverviewClever Care Health Plan is a healthcare company that provides health insurance for medicare services. It was founded in 2018, and is headquartered in Huntington Beach, California, USA, with a workforce of 201-500 employees. Its website is https://clevercarehealthplan.com.



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