Sr. Enrollment Representative

• Los Angeles
• Hybrid
• Hourly salary: $60

Software Guidance & Assistance Inc. (SGA) is searching for a Sr. Enrollment Representative for a Contract assignment with one of our premier Healthcare clients in a Remote Role.

Responsibilities :

• This roles responsibilities include but are not limited to: Understanding all aspects of Enrollment Operations Medicare Membership Enrollment Reconciliation and benefits coordination operations.

Required Skills:

• High School Diploma or equivalent. Required
• Minimum of three to five (3-5) years experience in a Medicare health plan or Managed Care Enrollment Disenrollment and Reconciliation - Required.
• Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
• Working knowledge of Microsoft Office Suite (Excel Word and PowerPoint) and data visualization tools.
• Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments priorities and deadlines.
• Strong knowledge of the health care model and other managed care MSO operations.
• Strong critical thinking and the ability to apply knowledge at a broad level is essential.
• Reliability and compliance with scheduling standards.

Preferred Skills:

• The ideal candidate will have experience with 834 EDI State (CA DHS) and CMS files.
• Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment business analysis and process improvement.