Enrollment Representative - 244920 - Medix : Job Details

Medix is now hiring full time Enrollment Representatives for a growing health plan!

Location/SettingOn-site; Orange, CA

Pay$21.00-$22.00

ShiftMon-Fri (9am-6pm), must be open to overtime or potential weekend shifts

TimeOffNO time off will be approved through the training period (9/15-10/10)

StartDate9/15

Requirements

• Proof of High School Diploma, GED, or equivalent
• 1 year of recent data entry or administrative experience in a healthcare or insurance setting highly preferred
• Seeking candidates with flexible scheduling, open to overtime or potential weekend shifts

Duties:

• Accurately, enter, review, and update enrollment applications
• Verify applicant eligibility for Medicare Advantage Plans, ensuring compliance with CMS guidelines
• Review applications for completeness, required documents, and accuracy before submission
• Process plan changes, denials, and special election request as applicable
• Maintain up-to-date knowledge of CMS enrollment guidelines, HIPAA requirements, and company policies
• Identify, document, and escalate enrolment discrepancies or errors in accordance with compliance protocols
• Perform qualify check on one's own work to meet accuracy metrics
• Respond to internal inquiries from agents, brokers, and customer service teams regarding enrollment status
• Provide clear, professional communication to resolve application issues in a timely manner
• Collaborate with internal departments to ensure prompt resolution of enrollment-related issues
• Consistently meet or exceed productivity, accurate, and timeliness goals for enrollment processing (metrics = processing 80-110 applications, about 8-10/hour)
• Track daily work volumes, turnaround times, and error rates in line with department performance standards

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)
• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)
• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)
• Short Term Disability Insurance
• Term Life Insurance Plan

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.