Enrollment Coordinator/Prior Authorization Rep.

A-Line Staffing is actively searching for Multiple Prior Authorization/Benefits Verification Reps for a major healthcare company located anywhere in the United States. This is an exciting opportunity with a client that is looking to move fast for the right candidate. Please contact Brad Zidek at bzidek@alinestaffing.com for immediate consideration! Or call at 412-823-2500.

Processing enrollment of Medicare members including first-time enrollment and member modifications
• Manage work activities in your work queue (i.e. enrollment missing information, enrollment with effective date change)
• Interface with other system applications for research and, where applicable, updating them with actions/outcomes of enrollment activity
• May also support on one or more of the following enrollment support functions
o Update Excel spreadsheets to track workflow of various special assigned projects
o Outbound Enrollment Verification member calls
o Answer incoming agent/broker calls regarding special needs (low income) enrollment plans
o Post Enrollment functions such as determining member paid penalties
• Meet monthly established quality and productivity goals on a consistent basis
• Follow work instructions regarding enrollment tasks

Experience

• Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and C
• Enrollment processes or previous work experience in regulatory environment
• Understanding of basic healthcare terminology and definitions, such as HIPAA
• Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets

Please contact Brad Zidek at bzidek@alinestaffing.com for immediate consideration! Or call at 412-823-2500.