Enrollment Specialist 9/16/2016

Winston Staffing Services New York, NY

Company
Winston Staffing Services
Job Classification
Full Time
Company Ref #
winnyIK-Enrollment
AJE Ref #
576198901
Location
New York, NY
Job Type
Temporary

JOB DESCRIPTION

APPLY
Applicant must have healthcare enrollment experience and experience with Medicaid. Data enter the application(s) using the correct election into the database within 7 calendar days of the plan?s receipt. Ensures timely submission of enrollments to Centers for Medicare & Medicaid Services (CMS). Generates and sends required member correspondence during processing of enrollment and disenrollment requests. Updates member records with changes relating to their enrollment which may include: Low Income Subsidy (LIS) updates, Medicaid updates, demographic updates, and effective/disenrollment changes. Maintains a working knowledge of CMS regulations as they relate to the members enrollment in the plan. Guarantees all required membership materials are sent within the required timeframes. Analyzes and summarize monthly reports to identify current trends of enrollments and dis-enrollments and develop strategies to address trends and ensure the continued growth of the program. Develops a working knowledge and understanding of out of area tracking, all low income subsidy processes, late enrollment penalty appeals and retroactive processing procedures.OTHER RESPONSIBILITIESInclude other significant responsibilities needed to accomplish job purpose/goals that are performed on a daily or infrequent basis. Creates a new member file to hold application and all documents concerning the member?s enrollment. Date stamps all withdrawal, cancellation, and disenrollmen

Requirements

Applicant must have healthcare enrollment experience and experience with
Medicaid. Data enter the application(s) using the correct election into
the database within 7 calendar days of the plan?s receipt. Ensures timely
submission of enrollments to Centers for Medicare & Medicaid Services (CMS).
Generates and sends required member correspondence during processing
of enrollment and disenrollment requests. Updates member records with
changes relating to their enrollment which may include: Low Income Subsidy
(LIS) updates, Medicaid updates, demographic updates, and effective/disenrollment
changes. Maintains a working knowledge of CMS regulations as they relate
to the members enrollment in the plan. Guarantees all required membership
materials are sent within the required timeframes. Analyzes and summarize
monthly reports to identify current trends of enrollments and dis-enrollments
and develop strategies to address trends and ensure the continued growth
of the program. Develops a working knowledge and understanding of out
of area tracking, all low income subsidy processes, late enrollment penalty
appeals and retroactive processing procedures.OTHER RESPONSIBILITIESInclude
other significant responsibilities needed to accomplish job purpose/goals
that are performed on a daily or infrequent basis. Creates a new member
file to hold application and all documents concerning the member?s enrollment.
Date stamps all withdrawal, cancellation, and disenrollmen

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