An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.
$21-$22/hour Are you detail-oriented, organized, and passionate about supporting members through the healthcare enrollment process? We are seeking Enrollment Representatives to join a growing healthcare organization focused on improving care and services for Medicare Advantage members. This is a great opportunity for someone with experience in healthcare administration, insurance enrollment, data entry, or customer support who enjoys working in a fast-paced, metrics-driven environment.
What You'll Do:
Accurately enter, review, and update Medicare Advantage enrollment applications Verify applicant eligibility while ensuring compliance with CMS guidelines Review applications for completeness, accuracy, and required documentation Process plan changes, denials, and special election requests as needed Identify and escalate enrollment discrepancies or errors following compliance procedures Perform quality checks on your own work to maintain accuracy standards Respond to questions from agents, brokers, and internal teams regarding enrollment status Occasionally make outbound calls to obtain missing information or resolve application issues Track productivity, turnaround times, and accuracy metrics
What We're Looking For:
High school diploma, GED, or equivalent required 1+ year of data entry, administrative, healthcare, insurance, or office experience Strong attention to detail and accuracy Comfortable working in a metrics-driven environment Strong computer skills and ability to learn new systems quickly Reliable attendance and ability to meet productivity goals Comfortable making occasional outbound calls
Preferred Experience:
Medicare Advantage enrollment experience Health insurance or healthcare administration background Call center, claims, member services, or insurance operations experience
Role Details:
Location:
Orange, CA (On-site during training; hybrid opportunity after approximately 1 month) Hybrid schedule after training may include: Monday/Wednesday/Friday onsite Tuesday/Thursday remote
Training:
4 weeks, Monday-Friday, 9:00 AM-6:00 PM Post-training schedule: Monday-Friday, 9:00 AM-6:00 PM Overtime may be required based on business needs, including extended weekday hours and occasional Saturdays Why Consider This Opportunity? Join a rapidly growing Medicare Advantage organization Opportunity for cross-training and career growth Potential to transition into a permanent position for strong performers Gain valuable healthcare operations experience Hybrid flexibility after successful training completion
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
