A company is looking for a Senior Enrollment Representative.
Key Responsibilities
Process health plans and enrollments, including initial mailing and database entry
Conduct audits and provide feedback to enhance processes and performance
Act as a technical resource and facilitator within project teams
Required Qualifications
High School Diploma / GED (or higher)
2+ years of experience with health plan payors, including Medicare and Medicaid
2+ years of experience with compliance workflows and NCQA policies
2+ years of experience with CMS regulations
Intermediate knowledge of provider enrollment systems and proficiency in MS Excel and Word
Enrollment Representative • Newark, New Jersey, United States