Enrollment Representative

Job Title: Healthcare Administrative Specialist (Temporary through March)

Location: Onsite Full-Time

Pay Range: $21 - $23 per hour (plus overtime opportunities)

Schedule: Monday-Friday 8:00 am - 5:00 pm or 9:00 am - 6:00 pm (availability required until 7:00 pm when needed) + Saturday shifts and regular overtime.

Contract Duration: Temporary through March 2025 with possibility of extension or conversion pending great performance and budget allowance.

Training: Comprehensive Training Provided

Position Overview:

Join our dynamic team as a Healthcare Administrative Specialist! This temporary role offers competitive pay, extensive training, and opportunities for overtime. If you excel, there is a potential for contract-to-hire and long-term growth within the organization.

Key Responsibilities:

• Send correspondence to members or CMS (Centers for Medicare & Medicaid Services) for information gathering and updates.

• Review the Transaction Reply Report (TRR) daily.

• Submit daily transaction files to CMS.

• Ensure compliance with Medicare guidelines for enrollments, denials, and rejections.

• Log all Outbound Enrollment Verification (OEV) letters in the membership database.

• Act as a liaison with Sales Representatives to ensure proper enrollment processing.

• Perform data entry for enrollment applications and disenrollments in the system.

• Track pending enrollments and follow up on additional information requirements.

• Assist with compliance tasks such as Working Aged Survey mailings and Annual Notice of Change Letters.

• Submit monthly reports on processed applications, scheduled appointments, and returned mail.

Required Qualifications:

• 1 year of experience in a healthcare administrative setting.

• Experience in a call center, insurance, or medical assistant (MA) role preferred.

• Proficiency with Microsoft Office and Excel.

• Strong knowledge of healthcare terminology.

• Ability to handle high call volumes.

Nice to Have:

• Experience with Medicare guidelines and CMS processes.

Why Join Us?

• Overtime Opportunities: Significant earning potential with regular overtime.

• Comprehensive Training: Paid training provided.

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan

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).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

For California Applicants:

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).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.