Heath Plans Medicare Enrollment Processor Remote

Primary City/State:

Arizona, Arizona

Department Name:

Sales

Work Shift:

Day

Job Category:

General Operations

You have a place in the health care industry. If you’re looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. Apply today.

Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.

As a Medicare Enrollment Processor, you will use your health plan and medical office work experience to manage members enrollment requests. You will work as an important part of a highly compliance driven department. You will also utilize your strong data entry skills and your knowledge of Medicare guidelines daily.

Your work location will be entirely remote. Your work shift will be 7:30 a.m.-4:00 p.m. Monday-Friday. This is a salaried and exempt from overtime role. If this role sounds like the one for you, Apply today!

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY
This position supports Health Plan sales and operations through comprehensive maintenance of Medicare Special Needs Plans Enrollment.
CORE FUNCTIONS
1. Retrieves daily enrollment files from CMS website enrollments.
2. Retrieves daily enrollment files from Right Fax.
3. Processes of Broker Enrollment Applications.
4. Verifies plan eligibility through AHCCCS and CMS.
5. Enters data for enrollment information into Siebel daily; enters enrollment information into IDX daily; enters enrollment information in the Application Tracking Log daily.
6. Performs enrollment fulfillment by printing and mailing Acknowledgement Letters, Out of Area and Loss of Medicaid Eligibility Letters.
7. Assists the Enrollment Department with special projects and administrative work.
8. Performs other duties and responsibilities that are consistent with the goals and qualifications of this position.
9. This position generally works within guidelines and policies, but participates and provides input on policy changes within a department or similar departments across the region or company. Incumbent performs essential functions with limited supervision.
MINIMUM QUALIFICATIONS
At least two years of experience in a Health Plans environment. Experience with Microsoft Word, Power Point, Excel, Oracle Reports. Experience working with data file management and coordinating among databases to produce reports.
Knowledge of AHCCCS and Medicare Special Needs Plans basics is preferred. Excellent written and verbal communications skills, including the ability to communicate effectively with all levels of staff. Exceptional organizational skills and attention to detail. Strong analytical and problem solving skills.
The ability to work independently on a wide range of tasks with increasing levels of difficulty. Strong data entry skills required. Ability to manage multiple tasks and prioritize a high volume of work. Must be extremely organized, work independently and be a dynamic communicator.
PREFERRED QUALIFICATIONS

An understanding of the enrollment process preferred. Access database experience a plus; IDX data entry experience preferred.
Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy