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Enrollment Analyst / Enrollment Processer - Multiple Opportunities( Contract )
REFERENCE # 17-01500
TITLE # Enrollment Analyst / Enrollment Processer - Multiple Opportunities

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Erin Chiz
Senior Technical Recruiter & Resource Manager
Phone: 860-674-1636 ext: 246
Email: echiz@itechsolutions.com
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LOCATION Farmington, CT
POSITION TYPE Contract
EXPERIENCE LEVEL

Meet Your Recruiter


Erin Chiz
Senior Technical Recruiter & Resource Manager
Phone: 860-674-1636 ext: 246
Email: echiz@itechsolutions.com
View ALL Jobs for Erin Chiz
View FEATURED Jobs For Erin Chiz
Enrollment Analyst / Enrollment Processer - Multiple Opportunities

Enrollment Analyst will be part of the Medicare Enrollment team. The primary role of the Medicare Enrollment Processor is to process the applications or changes to new and/or existing members.  The applications should be processed timely and accurately.  Responsible for handling escalated enrollment issues in collaboration with the Call Center. Effectively adheres to all regulatory requirements mandated by the Centers for Medicare (CMS) and state regulations when applicable.
 
KEY ACCOUNTABILITIES:
 
  • Retrieves, sorts, and documents all incoming Medicare Enrollment forms, correspondence and other mail within CMS guidelines.
  • Performs scanning of all paper and e-mailed Medicare Enrollment forms, correspondence and other mail in an accurate and timely manner.
  • Processes applications/disenrollments and changes for enrollment staff, internal departments and government agencies.
  • Audits and reconciles enrollment submissions for accuracy and timeliness per CMS guidelines.
  • Initiates and responds to phone inquiries to/from internal customers, plan members, prospective members and employer groups through information obtained from the Market Prominence, AWD Customer Service , Medicare System (MARx) and AMISYS systems. Responds to all AWD Customer Service inquiries received and updates the Market Prominence and/or AMISYS systems when necessary.
  • Updates demographic data, benefits and other fields in the Market Prominence and/or AMISYS systems based on reports or other documents received and assigned by the Manager.
  • Researches all Enrollment Elections Forms for completeness using all CMS regulations and time frames. Identifies all incomplete and complete enrollment elections in compliance with CMS regulations. Notifies and reports Medicare Marketing rejections, cancellations and possible CMS rejections to appropriate staff.
  • Reconciles discrepancies identified within internal systems and CMS.
  • Identifies, according to CMS regulations, all Completed Elections from existing members and processes them within CMS time frames.
  • Processes all Market Prominence rejections timely and accurately. Reconciles documents and attachments in Market Prominence against marketing submissions.
  • Assists with testing of new releases of Market Prominence software to ensure programs relevant to this position are functioning properly and are compliant with CMS polices and business procedures.
  • Completes all other duties as assigned. 
 
Required Skills
  • High school diploma (at minimum) is required. Preference of two years of previous Medicare Enrollment experience with an outside organization; OR demonstrated knowledge of the Market Prominence and other CMS systems.
  • Demonstrated knowledge of Medicare Enrollment Election processing based on applicable Federal/State regulatory guidelines preferred.
  • Excellent verbal and written communication skills.
  • Attention to detail, ability to attain and retain a range of information regarding regulations, policy, procedures and benefits. Ability to apply this information as it applies to enrollment processing.
  • Proficient in Windows environment - Microsoft Word, Excel and Access is a plus.
  • Accurate keying skills - 45 wpm with no errors.

For more information please contact Erin Chiz at 860-261-2840.

Since 1995, iTech Solutions Inc., has been providing IT Consulting and Direct Hire Services to the Insurance, Financial, Communications, Manufacturing  and Government sectors with local offices in Connecticut, Minnesota, Colorado,  Massachusetts, Tennessee, and New Jersey / Pennsylvania area. 

Our recruiting strategy is simple, if you want to find qualified IT professionals then use IT professionals to find them.   So at iTech Solutions,  our personnel are all career IT professionals with a wide range of IT experience.  We can honestly say our staff understands the technologies, the complexities of finding and selecting the appropriate personnel and the pressures of running successful IT projects.  


Employer will not sponsor applicants for any employment visas, at hiring or in the future, including but not limited to H-1B visas. Corp-to-Corp or subcontract personnel will not be considered for this position.
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iTech Solutions is a National Professional Services Firm, specializing in Technical Staffing, Recruiting and Consulting Services for Information Technology, Engineering and Business professionals. iTech Solutions, Inc. does not support and will not post: Any posting that does not comply with applicable laws relating to labor and employment, equal employment opportunity and employment eligibility requirements; and Any posting that requires U.S. citizenship or lawful permanent residence in the U.S. as a condition of employment, unless otherwise required in order to comply with law, regulation, executive order, or federal, state, or local government contract.
iTech Solutions, Inc is an equal opportunity employer.
iTech Solutions is a E-Verify program participant. This employer will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization.
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