Medicare Enrollment Representative 2 - Remote

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Job Information

Humana

Medicare Enrollment Representative 2 - Remote

in

Lancaster

South Carolina

Description

The Enrollment Representative 2 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The (Medicare) Enrollment Representative 2 reviews reports and makes adjustments, additions, and deletions based on enrollment rules.

Manages a daily inventory. Reports inventory daily.

Decisions are typically focused on interpretation of area/department policy and methods for completing assignments.

Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.

Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

1 to 3 years processor experience

Knowledge of Medicare regulations, experience in Managed Care Enrollment (MA, MAPD and PDP)

Strong research ability in regards to Medicare Enrollment processes

Basic proficiency and working knowledge of Microsoft Word and Excel

Must be available to work a Flex schedule Monday - Friday starting 7:30 AM - 9:00 AM in the Eastern Standard Time Zone

Must be available to work overtime during Open Enrollment Season October 1st-December 31st. This may include weekends and Holidays. Overtime will depend on business needs and may be available during the rest of the year.

​ Work at Home Requirements

Must have a separate room with a locked door that can be used as a home office to ensure you and your members have absolute and continuous privacy while you work.

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.

Preferred Qualifications

Knowledge of the MARX and FLMMIS Systems

English and Spanish bilingual

Audit experience

Additional Information

Interview Process

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com