Customer Service Representative

The Enrollment Coordinator plays a critical role in working with our new Medicare Part D member clients to determine eligibility and perform various enrollment activities. Interfacing with both individual plan members and employer groups the position will work in accordance with Center for Medicare/Medicaid Services (CMS) guidelines to ensure regulatory compliance. This position requires a strong focus around accurate and timely customer support to ensure client enrollment and retention. The Coordinator will need to prioritize daily tasks and work items in queue, manage turnaround times, and manage items that need escalation. The position will partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines. The Coordinator has the key responsibility of managing enrollment with optional tasks to include: scanning incoming items into MedForce application; tracking special projects in Excel and managing outbound enrollment verification member calls.

Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment - Understanding of basic healthcare terminology and definitions, such as HIPAA and JACHO. - Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets.

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