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Enrollment Coordinator

Iconma

Cumberland, RI

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JOB DETAILS
SALARY
$15–$23.57 Per Hour
SKILLS
Benchmarking, Business Administration, Centers for Medicare and Medicaid Services (CMS), Coaching, Communication Skills, Corporate Compliance, Customer Retention/Renewal, Customer Support/Service, Establish Priorities, Finance, Government, Health Plan, High School Diploma, Maintain Compliance, Marketing, Medicaid, Medicare, Operational Support, Organizational Skills, Pharmacy, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Quality Control, Regulations, Retail, Safety/Work Safety, Software Administration, Team Player, Time Management, Writing Skills
LOCATION
Cumberland, RI
POSTED
5 days ago
Our Client, a Retail Pharmacy company, is looking for an Enrollment Coordinator for their Cumberland, RI location.
 
Responsibilities:
  • Submits, maintains, and monitors applications for Initial enrollment and Revalidation with Government Medicaid Payer and Commercial Payers for Clinics and Providers in order to ensure active participation.
  • Provides assistance in developing and improving payer workflow while ensuring compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.
  • Responsible for ensuring the timely and accurate submission of Group and Provider enrollment applications for Medicaid and Commercial programs, supporting compliance and operational efficiency across payer relations.
  • Responsible for minimizing the deactivation of government program applications by adhering to established quality control procedures.
  • Serves as a key point of contact for escalated claim issues received from internal departments, coordinating with payers to identify and implement solutions.
  • Communicates resolutions and relevant updates to appropriate internal stakeholders to ensure alignment and continuity.
  • The Coordinator III will work directly with other coordinators to ensure quality of work delivered, performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent basis.
  • The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities.
  • Enrollment Coordinators interface with both individual plan members and employer group and requires a strong focus around accurate and timely customer support to ensure client enrollment and retention.
  • The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.
 
Requirements:
  • At least 1 year of overall related experience of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D enrollment processes or previous work experience in regulatory environment.
  • Comfortable in both team player and team roles.
  • Dependable/Responsible/Accountable Excellent spoken and written communication skills Capable of managing through transition, while fostering a positive team environment Confident in decision making ability within strict timelines Exceptional prioritization and organizational skills Acts with integrity and uses sound judgment in dealing with confidential information
  • High school diploma or GED required, Bachelors Degree in Business Administration, Marketing, Finance or similar field preferred and have 2+ years of relevant work experience.
 
Why Should You Apply?  
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.

About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/