Medicare Seasonal Associate - Nahant - job 958621

Blue Cross Blue Shield of Massachusetts

Date: 07/22/2021

City: Nahant, Massachusetts

Employment type: Full-time

Ready to help us transform healthcare? Bring your true colors to blue.

The Medicare Advantage Enrollment Seasonal Associate will be responsible for accurate and timely entry of member information in the enrollment systems. This role will assist the team by processing new enrollments and member updates, supporting the mail desk and triaging correspondence to other business units within Medicare Markets and other responsibilities as delegated.

The successful candidate will work collaboratively within a fast-paced production environment to meet changing business need, timeliness, and production requirements. Must exhibit spirit of flexibility and teamwork, be proactive and self-directed to support the success of the team and organization.

This is a benefit-eligible seasonal position.


Adheres to Processing guidelines to meet Enrollment timeliness requirements as defined by Center of Medicare and Medicaid (CMS); ensure BCBSMA membership systems reconcile and match to CMS’s records

Use quality control techniques to eliminate enrollment rejections and resolve errors identified

Processes new enrollment applications and eligibility updates to member records in the enrollment systems to ensure our systems align with the member information with by Center of Medicare and Medicaid (CMS)

Reconciliation Analyst support including daily transaction processing and monthly file processing

Review and update Primary Care Provider reporting, error reporting, daily processing files and other ad hoc processing related tasks

Provide outstanding level of service to both internal and external customers by supporting the MAPD Enrollment Helpdesk to help achieve first call resolution

Contact members to resolve discrepancies

Support the Process Control desk by prepping documents for scanning and delivering correspondence to designated teams

Flexibility and willingness to change as business needs fluctuate within the organization.

Consistently achieve quality and productivity standards

Take ownership of work

Qualifications: (Knowledge, skills, and abilities)

Flexible to meet timeless deadlines related to Centers for Medicare Medicaid (CMS) compliance requirements

Demonstrate initiative, self-motivation, reliability, and a positive team spirit.

Ability to produce accurate work in a fast-paced environment

Demonstrated flexibility and willingness to adapt to changing business needs

Provide outstanding level of service to both internal and external customers

Excellent organizational, problem solving, communication and interpersonal skills

Education/Relevant Experience:

Must have a completed High School Diploma or GED

Strong knowledge of RTMS (preferred)

Proven written and verbal communications skills are essential

Intermediate knowledge of MS Word and Excel or other similar software applications

Ability to prioritize and manage multiple tasks

Good interpersonal and organizational skills

Minimum Education Requirements:

High school degree or equivalent required

Location Hingham Time Type Full time

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