Associate Medicare Enrollment Coordinator Priority Health

Job Summary

Effectively lead all steps of the enrollment process for government programs products in a pleasant and expedient manner to ensure quality customer service and compliance with all legislative, regulatory and accreditation requirements. Plan, assign, and direct day-to-day responsibilities and workflow of the government programs enrollment staff. Assist customers and staff throughout the enrollment process by providing complete information and follow up on a timely basis. Assist the Senior Manager in coordinating activities and in the development/collection of materials required to meet and demonstrate compliance to all state, federal and accrediting organization requirements.

Essential Functions

Effectively lead all steps of the enrollment process for government programs products in a pleasant and expedient manner to ensure quality customer service and compliance with all legislative, regulatory and accreditation requirements. Plan, assign, and direct day-to-day responsibilities and workflow of the government programs enrollment staff. Assist customers and staff throughout the enrollment process by providing complete information and follow up on a timely basis. Assist the Senior Manager in coordinating activities and in the development/collection of materials required to meet and demonstrate compliance to all state, federal and accrediting organization requirements.

Essential Functions

• Plan, assign and direct the day-to-day responsibilities and workflow of the government programs enrollment staff to ensure all enrollment procedures are followed and timeline requirements are met

• Utilize various reports to monitor individual and team production and performance; revise staffing model as necessary to meet customer and department needs

• Audit enrollment files consistently to ensure all are complete, organized, and secure according to policies and procedures

• Inform team members of audit results, rewarding and/or counseling regarding ongoing performance as necessary

• Provide technical, product, policy and procedure training for new and existing staff

• Address complex issues, including customer complaints, to facilitate effective resolution

• Assist with enrollment processing as necessary to ensure compliance with regulations and standards, including timeframes

• Maintain knowledge of technical systems, products, policies/procedures, regulatory requirements and accreditation standards to be an effective resource for staff

• Courteously provide internal and external customers with information and education regarding the government programs enrollment process

• Effectively educate team on an ongoing basis relative to day-to-day changes, company initiatives and communications (internal and external) that may directly affect their interpretations of policy changes or benefit clarification to members, employers and other Priority Health staff

Qualifications

Required

• 1 year of relevant experience Managed care and/or health care

Preferred

• Bachelor's Degree Business Administration and/or health related degree or equivalent experience

• 1 year of relevant experience Enrollment

• Working knowledge of Facets, state and CMS requirements

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Enrollment and Fulfillment Medicare

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