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Medicare

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Licensed Insurance Agent specializing in Medicare sales

Houston, TX · Remote

In this role, you will educate clients on Medicare options (Parts C & D, and ancillary products), recommend suitable plans based on their unique needs, and assist with plan enrollments and ...

New

Medicare

Be Seen First

Licensed Insurance Agent specializing in Medicare sales

Houston, TX · Remote

In this role, you will educate clients on Medicare options (Parts C & D, and ancillary products), recommend suitable plans based on their unique needs, and assist with plan enrollments and ...

New

Peak Health

Enrollment Analyst - ACA Enrollment

  • Medical

The enrollment team will review, execute, and oversee the processing of member enrollment ... Participates in both ASO & Medicare job duties. 17. Processes SNP applications, verifying ...

WVU Medicine

Enrollment Analyst - ACA Enrollment

  • Medical

The enrollment team will review, execute, and oversee the processing of member enrollment ... Participates in both ASO & Medicare job duties. 17. Processes SNP applications, verifying ...

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Live In Medicare Enrollment jobs near you

Medicare Enrollment & Eligibility Specialist (Hybrid)

Novus Group

Pittsburgh, PA • Hybrid

$30.40/hr

Full-time

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

Medicare Enrollment & Eligibility Specialist (Hybrid)

Job Type: Full-Time, Direct-Hire (Permanent placement on company payroll with immediate full benefits; not a temporary job)

Location: Pittsburgh, PA 15219 (Hybrid – periodic on-site office visits depending on departmental needs)

Schedule: Monday – Friday, Day Shift (No evenings, weekends, or holidays!)

New Hire Base Pay: $20.70 per hour

Future Earning Potential: Established employees have the opportunity to earn progressive pay increases up to $30.40 per hour over time through performance, tenure, and continuous learning.

Mandatory Qualifications

  • Education & Availability: High School Diploma or GED required (College degree preferred); ability to commit to full-time hours year-round.
  • Customer Service & Call Center Experience: Minimum 6+ months of experience in health insurance call center support required.
  • Call Center Environment: Comfortable working in a hybrid call center environment handling customer inquiries and processing electronic member transactions.
  • Health Insurance & Medical Terminology: Knowledge or experience with health insurance operations, Medicare/Medicaid enrollment guidelines, and basic medical terminology required.
  • Technical & Software Skills: Proficient computer/PC skills required; working knowledge of Microsoft Excel (formulas, VLOOKUPs, pivot tables, chart creation) and electronic data entry platforms preferred.
How You'll Make an Impact

  • Enrollment & Disenrollment Transaction Processing: Create and maintain member eligibility records across various product lines (HMO, PPO, SNP, PDP), processing transactions in strict accordance with CMS and state regulatory guidelines.
  • Regulatory Compliance & Eligibility Determination: Analyze beneficiary information and member history to make compliant eligibility determinations based on election periods, CMS (Part A/B), and state assistance rules.
  • Customer & Sales Partner Support: Interact with internal teams, sales staff, and external customers to resolve enrollment inquiries, gather missing application data, and address complaints efficiently.
  • Member Correspondence & Outreach: Generate and dispatch required enrollment/disenrollment letters, outreach requests, and mandatory disclosures to ensure timely, compliant communication with members.
  • Data Management & Trend Identification: Perform daily clerical data entry, maintain electronic member records with high attention to detail, and identify potential compliance or operational trends to management.
What We Offer

  • Predictable Work-Life Balance: Standard Monday through Friday daylight schedule with hybrid remote flexibility, no weekends, and major holidays off.
  • Competitive Compensation & Growth: Set starting rate of $20.70/hr with structured career pathways into senior compliance, reporting, and operations management roles.
  • Comprehensive Benefits Package: Top-tier health, dental, and vision insurance starting day one.
  • Generous Retirement Match: Retirement savings with up to an 8% employer match contribution.
  • Education Investment: Up to $6,000/year in tuition assistance plus tuition discounts at 30+ partner schools.