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Role Overview:
- Prepare, process, and maintain Medicare enrollment and disenrollment requests.
- Verify and maintain all applicable eligibility requirements, including Medicaid.
- Resolve enrollment system rejections based on regulatory and client guidelines.
Requirements:
- High school degree required; 3-5 years of Medicare enrollment processing experience.
- Thorough understanding of Medicare Advantage products and CMS transaction files.
- Experience with CMS interfaces and enrollment/billing functions.
Additional Details:
- Remote, US-based position with a full-time, permanent schedule.
- Opportunity to mentor junior team members and contribute to process improvements.
- Work across multiple time zones in a remote or hybrid environment.
HealthEdge
HealthEdge provides AI-powered operational infrastructure for health insurance companies, aiming to modernize operations and improve competitiveness. UST HealthProof, a fast-growing company, focuses on reducing administrative costs and improving healthcare experiences, led by seasoned leaders fostering a supportive, growth-oriented environment.