Sr. Enrollment Representative

Software Guidance & Assistance, Inc., (SGA), is searching for a Sr. Enrollment Representative for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA .

Responsibilities :

• This role's responsibilities include but are not limited to: Understanding all aspects of Enrollment Operations, Medicare Membership Enrollment, Reconciliation, and benefits coordination operations.

Required Skills:

• High School Diploma or equivalent. Required
• Minimum of three to five (3-5) years' experience in a Medicare health plan or Managed Care - Enrollment, Disenrollment and Reconciliation - Required.
• Robust knowledge of Medicare and CMS enrollment and billing regulatory requirements.
• Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools.
• Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines.
• Strong knowledge of the health care model and other managed care MSO operations.
• Strong critical thinking and the ability to apply knowledge at a broad level is essential.
• Reliability and compliance with scheduling standards.

Preferred Skills:

• The ideal candidate will have experience with 834 EDI, State (CA DHS) and CMS files.
• Highly desired experience includes the following - Managed Care experience - Medicare and Medicaid enrollment, business analysis and process improvement.

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.
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