Medicare correspondence representative job description
Updated March 14, 2024
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Example medicare correspondence representative requirements on a job description
Medicare correspondence representative requirements can be divided into technical requirements and required soft skills. The lists below show the most common requirements included in medicare correspondence representative job postings.
Sample medicare correspondence representative requirements
- Bachelor's degree in healthcare or related field
- Knowledge of Medicare guidelines and regulations
- Proficient in Microsoft Office and database management
- Excellent written and verbal communication skills
- Ability to interpret and analyze complex information
Sample required medicare correspondence representative soft skills
- Empathy and patience when dealing with customers
- Strong problem-solving and critical thinking abilities
- Attention to detail and accuracy
- Ability to work independently and as part of a team
- Flexibility and adaptability to changes in policies and procedures
Medicare correspondence representative job description example 1
CSI Companies medicare correspondence representative job description
Provider Service Representative is responsible supporting, developing and maintaining relationships with all physicians, providers and facility administrators within a provider network.
The Member/Provider Services Team acts as an advocate for our customers (member, provider, facilities, etc.) by providing guidance, interpretation, and education on benefit coverage levels, referrals, and various program inquiries as part of our call center which includes overtime and holiday hours as needed.
Shift: 11am to 8pm
Pay: $18+ (and weekly pay!)
Essential Duties & Responsibilities
Reasonable accommodations are made to enable individuals with disabilities to perform the essential functions:
Acts as a subject matter expert for all provider network related questions, requests and concerns. Responds to providers and provides information regarding policies, rates, member eligibility, credentialing, referrals and member benefits. Serve as a resource for providers, physicians, and facility administrators Handle complex provider network issues Assist providers in navigating the provider portal or other applicable health plan software and/or websites. Ability to understand and effectively communicate general information regarding Medicare and Special Needs Plan product lines to providers. Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Conducts self in a manner consistent with the mission and philosophy of the organization at all times Ability to work with minimal supervision Must be able to be on the phone for long periods of time Must be able to work in a high stress environment and remain pleasant and courteous Must be able to listen skillfully and collect relevant information in order to provide step-by-step instructions to providers in terms they can understand and act upon. Ability to navigate information coming from multiple platforms and prioritize duties appropriately Accurate data entry of information Ensures first call resolution to effectively resolve provider needs and concerns Must maintain compliance with all company policies and procedures Ability to handle a high workload and meet deadlines with a high level of accuracy. May be assigned other duties
Qualifications / Requirements
Associate degree or higher education preferred Bilingual a plus 2+ years prior health plan call center/customer service experience preferred 2+ years prior health plan provider network and/or credentialing experience preferred Healthcare industry experience preferred Healthcare Sales experience a plus Experience with MS Office applications, customer service software, databases and CRM tools Excellent verbal and written communication skills, including ability to communicate effectively with internal and external customers. Strong attention to detail Knowledge of PHI/HIPAA Compliance rules and regulations a plus Professionalism in appearance, communications and demeanor Must be able to work independently with limited supervision Must be organized and detail oriented About Us: The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 5 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted. Benefits Offered: Weekly pay Medical, dental, and vision coverage Voluntary Life and AD&D coverage Paid Training Opportunity for advancement upon performance and availability
APPLY NOW!!
Company DescriptionAt The CSI Companies, we provide comprehensive staffing solutions to companies nationwide through our four specialty divisions:
• CSI Financial
• CSI Healthcare IT
• CSI Professional
• CSI Tech
In 2010, The CSI Companies became a part of Recruit Global Staffing, now RGF Staffing, active in Asia, Europe, North America and Oceania. RGF Staffing, a part of Recruit Holdings Co., Ltd, ranks as one of the largest staffing companies in the world. As a member of the RGF Staffing family, we can extend the benefits of global recognition and universal resources to our valued clients and candidates.
The Member/Provider Services Team acts as an advocate for our customers (member, provider, facilities, etc.) by providing guidance, interpretation, and education on benefit coverage levels, referrals, and various program inquiries as part of our call center which includes overtime and holiday hours as needed.
Shift: 11am to 8pm
Pay: $18+ (and weekly pay!)
Essential Duties & Responsibilities
Reasonable accommodations are made to enable individuals with disabilities to perform the essential functions:
Acts as a subject matter expert for all provider network related questions, requests and concerns. Responds to providers and provides information regarding policies, rates, member eligibility, credentialing, referrals and member benefits. Serve as a resource for providers, physicians, and facility administrators Handle complex provider network issues Assist providers in navigating the provider portal or other applicable health plan software and/or websites. Ability to understand and effectively communicate general information regarding Medicare and Special Needs Plan product lines to providers. Demonstrate outstanding service to identify the source of the caller's issue and work to resolve the inquires in a timely and professional manner Conducts self in a manner consistent with the mission and philosophy of the organization at all times Ability to work with minimal supervision Must be able to be on the phone for long periods of time Must be able to work in a high stress environment and remain pleasant and courteous Must be able to listen skillfully and collect relevant information in order to provide step-by-step instructions to providers in terms they can understand and act upon. Ability to navigate information coming from multiple platforms and prioritize duties appropriately Accurate data entry of information Ensures first call resolution to effectively resolve provider needs and concerns Must maintain compliance with all company policies and procedures Ability to handle a high workload and meet deadlines with a high level of accuracy. May be assigned other duties
Qualifications / Requirements
Associate degree or higher education preferred Bilingual a plus 2+ years prior health plan call center/customer service experience preferred 2+ years prior health plan provider network and/or credentialing experience preferred Healthcare industry experience preferred Healthcare Sales experience a plus Experience with MS Office applications, customer service software, databases and CRM tools Excellent verbal and written communication skills, including ability to communicate effectively with internal and external customers. Strong attention to detail Knowledge of PHI/HIPAA Compliance rules and regulations a plus Professionalism in appearance, communications and demeanor Must be able to work independently with limited supervision Must be organized and detail oriented About Us: The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 5 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted. Benefits Offered: Weekly pay Medical, dental, and vision coverage Voluntary Life and AD&D coverage Paid Training Opportunity for advancement upon performance and availability
APPLY NOW!!
Company DescriptionAt The CSI Companies, we provide comprehensive staffing solutions to companies nationwide through our four specialty divisions:
• CSI Financial
• CSI Healthcare IT
• CSI Professional
• CSI Tech
In 2010, The CSI Companies became a part of Recruit Global Staffing, now RGF Staffing, active in Asia, Europe, North America and Oceania. RGF Staffing, a part of Recruit Holdings Co., Ltd, ranks as one of the largest staffing companies in the world. As a member of the RGF Staffing family, we can extend the benefits of global recognition and universal resources to our valued clients and candidates.
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Medicare correspondence representative job description example 2
Kaiser Permanente medicare correspondence representative job description
The Enroller is accountable for facilitating targeted enrollment activities to help increase membership and build support for Kaiser Permanente. No benefits will be provided. All incumbents will be hired as On-Call / Per-Diem.
Essential Responsibilities:
+ Conduct purchaser stand-up meetings and presentations for any of the products offered by KP. Responds to questions.
+ Facilitate enrollment activities by representing Kaiser Permanente, and transporting enrollment materials and promotional items.
+ Track and monitor open enrollment activities.
+ Engage local/branch account contacts to ensure understanding of and commitment to KP.
+ Communicate purchaser issues regarding accounts and book of business accurately and within specified timeframe.
+ Identify and report purchaser trends to internal stakeholders.
+ Accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.
Basic Qualifications:
Experience
+ N/A
Education
+ Bachelor's degree or currently enrolled in a degree program OR four (4) years of experience in a directly related field.
+ High school diploma OR General Education Development (GED) required.
License, Certification, Registration
+ N/A
Additional Requirements:
+ Excellent customer service and face-to-face presentation skills required.
+ Required Competencies: business ethics, initiative, interpersonal communication, results driven, presentation skills,change adaptability.
+ Strong knowledge of KP organization, values, and products required.
+ Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
+ Three (3) years of experience in sales and marketing in health care, some of which should be in Enrollment.
+ Three (3) years of experience in enrollment.
+ Bi-lingual language knowledge.
+ CA Accident and Health Insurance license.
COMPANY: KAISER
TITLE: Call-in/On-Call Medicare Enroller
LOCATION: Walnut Creek, California
REQNUMBER: 1108279
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Essential Responsibilities:
+ Conduct purchaser stand-up meetings and presentations for any of the products offered by KP. Responds to questions.
+ Facilitate enrollment activities by representing Kaiser Permanente, and transporting enrollment materials and promotional items.
+ Track and monitor open enrollment activities.
+ Engage local/branch account contacts to ensure understanding of and commitment to KP.
+ Communicate purchaser issues regarding accounts and book of business accurately and within specified timeframe.
+ Identify and report purchaser trends to internal stakeholders.
+ Accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors.
Basic Qualifications:
Experience
+ N/A
Education
+ Bachelor's degree or currently enrolled in a degree program OR four (4) years of experience in a directly related field.
+ High school diploma OR General Education Development (GED) required.
License, Certification, Registration
+ N/A
Additional Requirements:
+ Excellent customer service and face-to-face presentation skills required.
+ Required Competencies: business ethics, initiative, interpersonal communication, results driven, presentation skills,change adaptability.
+ Strong knowledge of KP organization, values, and products required.
+ Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
+ Three (3) years of experience in sales and marketing in health care, some of which should be in Enrollment.
+ Three (3) years of experience in enrollment.
+ Bi-lingual language knowledge.
+ CA Accident and Health Insurance license.
COMPANY: KAISER
TITLE: Call-in/On-Call Medicare Enroller
LOCATION: Walnut Creek, California
REQNUMBER: 1108279
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Updated March 14, 2024
Updated March 14, 2024