Medicare Seasonal Associate - Processor

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Job Title:  Medicare Advantage Enrollment Seasonal Associate

Department:  Medicare Operations/Enrollment

Grade Level: O

Location:  25 Technology Place, Hingham

Description:
Blue Cross Blue Shield of Massachusetts is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.
 

Position Summary:

The Medicare Advantage Enrollment Seasonal Associate will be responsible for accurate and timely entry of member information in RTMS and The MHK enrollment portal. This role will assist the team by processing new enrollments and member updates, supporting the mail desk and triaging correspondence to other business units within Medicare Markets and other responsibilities as delegated.

The successful candidate will work collaboratively within a fast paced production environment to meet changing business need, timeliness and production requirements.  Must exhibit spirit of flexibility and teamwork, be proactive and self-directed to support the success of the team and organization.

Responsibilities:

• Adheres to Processing guidelines to meet Enrollment timeliness requirements as defined by CMS; ensure BCBSMA membership systems reconcile and match to CMS’s records.  
• Use quality control techniques to eliminate enrollment rejections and resolve errors identified.
• Processes new enrollment applications and eligibility updates to member records in RTMS and the Visiant Gateway to ensure our systems align with the member information with CMS.
• Reconciliation Analyst support including daily TRR processing, monthly file processing
• Review and update PCP reports, error reporting, daily processing files from CMS and other ad hoc processing related tasks
• Assist team Supervisor in the collection and compilation of data for CMS audit purposes.
• In Office: Support the Process Control desk by prepping documents for scanning and delivering correspondence to designated teams
• Flexibility and willingness to change as business needs fluctuate within the organization.
• Consistently achieve quality and productivity standards
• Take ownership of work 

Qualifications:  (Knowledge, skills and abilities)

• Flexible to meet timeless deadlines related to Centers for Medicare Medicaid (CMS) compliance requirements
• Demonstrate initiative, self-motivation, reliability and a positive team spirit.
• Ability to produce accurate work in a fast-paced environment
• Demonstrated flexibility and willingness to adapt to changing business needs
• Provide outstanding level of service to both internal and external customers
• Excellent organizational, problem solving, communication and interpersonal skills

Education/Relevant Experience:

• Bachelor’s Degree or equivalent work Experience
• Proven written and verbal communications skills are essential
• Detailed-oriented
• Ability to prioritize and manage multiple task

This position is eligible for the following personas: eWorker, Mobile, Resident.
 

Minimum Education Requirements:

High school degree or equivalent required unless otherwise noted above

Location

Hingham

Time Type

Full time

Hourly Range: $20.82 - $25.44

The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting.  We may ultimately pay more or less than the posted range, and the range may be modified in the future.  An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

This job is also eligible for variable pay.

We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole dis