Healthcare Support Specialist

Healthcare Support Specialist

Medix Healthcare

Orange, CA 92868

FULL TIME, Must be available Saturdays

$21/hour, Overtime Pay Included!

Job Details

Hourly

$21/hour

Job Type

Full-Time

Qualifications

• HS Diploma/GED
• Communication Skils
• Computer Savvy
• Knowledge of Health Insurance Plans (Medicare & Medicare Advantage)
• Customer Service Oriented

Essential Duties and Responsibilities:

As a Healthcare Support Specialist you will…

• Sending correspondence to Members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections.
• Ensure the TRR is reviewed on a daily basis.
• Submit daily transaction files to CMS.
• Ensure that all enrollments, denials and rejects meet Medicare guidelines (Chapter 2 Medicare Advantage Enrollment and Disenrollment manual).
• All OEV letters are to be logged in the membership data base.
• Act as a liaison to the Sales Representatives. Ensure that new enrollments are processed properly. Provide any issues identified to the necessary internal department heads.
• Data entry of all enrollment applications as well as disenrollments into plan's data system.
• Track all pending enrollments for additional information needed for qualification.
• Assist in the departmental compliance tasks which include the Working Aged Survey Mailing, Annual Notice of Change Letter, Health Care Risk Assessment mailings, and all other necessary compliance mailings.
• Submit monthly reports to the Membership Manager, enrollment applications processed and returned, member appointments scheduled, and number of mailed packets and returned mail.

Work Environment: This position is going to be ON SITE.

Job Type: Full-time

Pay: $21 / Hourly

Schedule:

• FULL TIME, Must be available Saturdays

#MedixMW

Medix is acting as an Employment Agency in relation to this vacancy.