Medicare Advantage Enrollment Representative
Work Location: Los Angeles, CAJob #: 31710
Work Hours: Monday-Friday, 8:00am-5:00pm PST
Employment Type: 2 Staff- Career
Duration: Indefinite
Salary Range: $23.58-33.05 Hourly
Bargaining Unit:
Teamsters CXMake a difference in people's lives every day. When you join UCLA Health, you'll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
Job Duties:- Review and submit Enrollment requests received as well as maintaining accuracy and timeliness of acknowledgment notices to members
- Maintain open lines of communication with various departments to resolve member issues and implement ADHOC resolutions to sustain quality member care
- Use Key Performance Indicator's (KPIs) to identify trends and risks; manage service and Operating Level Agreement metrics/reporting and present findings
Review Medicaid Aid codes and their corresponding Medicaid level and interpretation for department processes.
Ensure quality and compliance to meet applicable guidelines; ensure timely, accurate and complete submissions to CMS Medicare
Identifies continuous improvement initiatives to streamline processes, reduce member complaints and improve the overall member experience
Ensure that prospective enrollees are appropriately screened to meet eligibility requirements within regulatory timelines
Work closely with the Sales and Compliance teams to ensure timely submissions and resolution of eligibility issues, as well as departmental goals and quality goals are met
Ensure the required member mailings are sent in a timely fashion
Salary Range: $23.58 $33.05/hourly
