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Medicare correspondence representative vs enrollment representative

The differences between medicare correspondence representatives and enrollment representatives can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a medicare correspondence representative, becoming an enrollment representative takes usually requires 6-12 months. Additionally, a medicare correspondence representative has an average salary of $37,896, which is higher than the $31,463 average annual salary of an enrollment representative.

The top three skills for a medicare correspondence representative include patients, appeals and customer issues. The most important skills for an enrollment representative are home health, customer service, and data entry.

Medicare correspondence representative vs enrollment representative overview

Medicare Correspondence RepresentativeEnrollment Representative
Yearly salary$37,896$31,463
Hourly rate$18.22$15.13
Growth rate-4%-4%
Number of jobs28,554185,567
Job satisfaction--
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 52%
Average age4040
Years of experience412

Medicare correspondence representative vs enrollment representative salary

Medicare correspondence representatives and enrollment representatives have different pay scales, as shown below.

Medicare Correspondence RepresentativeEnrollment Representative
Average salary$37,896$31,463
Salary rangeBetween $29,000 And $49,000Between $25,000 And $38,000
Highest paying City-Temecula, CA
Highest paying state-California
Best paying company-Curry College
Best paying industry-Non Profits

Differences between medicare correspondence representative and enrollment representative education

There are a few differences between a medicare correspondence representative and an enrollment representative in terms of educational background:

Medicare Correspondence RepresentativeEnrollment Representative
Most common degreeBachelor's Degree, 35%Bachelor's Degree, 52%
Most common majorBusinessBusiness
Most common collegeStanford University-

Medicare correspondence representative vs enrollment representative demographics

Here are the differences between medicare correspondence representatives' and enrollment representatives' demographics:

Medicare Correspondence RepresentativeEnrollment Representative
Average age4040
Gender ratioMale, 24.6% Female, 75.4%Male, 29.1% Female, 70.9%
Race ratioBlack or African American, 10.4% Unknown, 4.9% Hispanic or Latino, 21.2% Asian, 6.2% White, 56.6% American Indian and Alaska Native, 0.6%Black or African American, 9.6% Unknown, 5.4% Hispanic or Latino, 21.8% Asian, 6.6% White, 55.9% American Indian and Alaska Native, 0.7%
LGBT Percentage7%7%

Differences between medicare correspondence representative and enrollment representative duties and responsibilities

Medicare correspondence representative example responsibilities.

  • Manage CMS communications throughout the organization.
  • Follow specific HIPAA guidelines as set forth by company regulations.
  • Maintain, update, and review member files adhering to strict HIPPA guidelines.
  • Send high volume of written correspondence/affirmation letters to providers and patients.
  • Provide professional and confidentiality with patient information due to HIPPA regulations.
  • Assist with data reports by comparing enrollment error reports against system information along with CMS records to validate information accuracy.
    • Show more

Enrollment representative example responsibilities.

  • Achieve excellent customer satisfaction ratings as documented by CIGNA surveys.
  • Audit all tickets for proper labs, correct ICD-9 coding and CPT coding.
  • Learned ICD-9 codes and medical billing to insure prompt and accurate processing of claims.
  • Resolve claims by verifying CPT and ICD-9 coding and the expected reimbursement per contractual agreements with varying insurance providers.
  • Proofread any errors than may occur, fax, file, track all PCP forms
  • Adhere to all key audit controls and comply with all establish standards associate with HIPAA, SOX and SAS70.
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Medicare correspondence representative vs enrollment representative skills

Common medicare correspondence representative skills
  • Patients, 18%
  • Appeals, 9%
  • Customer Issues, 8%
  • CMS, 7%
  • Medicaid, 6%
  • Inbound Calls, 6%
Common enrollment representative skills
  • Home Health, 22%
  • Customer Service, 18%
  • Data Entry, 10%
  • Patients, 6%
  • CMS, 4%
  • Enrollment Process, 4%

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Updated January 8, 2025

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