Membership Representative Bilingual

Orange, CA 92868

Employment Type: Temp-to-Hire Category: Healthcare Job Number: [SA] 10 OPENINGS: Open enrollement/ Call Center / Bilingual / New Plan Coverage/ Medicare Pay Rate: 16.00

The Membership Representative is responsible for all Open Enrollment new plan enrollments. Articulate bilingual call enter experience to assist our Spanish ,Vietnamese, and Korean members. You will research, validate, and reconcile enrollments from an error reports and CMS (Center for Medicare and Medicaid Services) daily files. Ensures all data entry is completed with the require time frame. 

Responsibilities include but are not limited to: 

  1. Excellent call center telephone etiquette, be able to manage calls in a professional and compassionate manner.
  2. Sending correspondence to Members or CMS (Center for Medicare and Medicaid Services) to gather information or provide updates for corrections. 
  3. Submit daily transaction files to CMS.
  4. Ensure that all enrollments, denials and rejects meet Medicare guidelines (Chapter 2 Medicare Advantage Enrollment and Dis-enrollment manual).
  5. All OEV letters logged correctly and timely into the membership data base.
  6. Act as a liaison to the Sales Representatives.  Ensure that new enrollments are processed properly.  Provide any issues identified to the necessary internal department heads.
  7. Track all pending enrollments.
  8. Assist in the departmental compliance tasks which include the Working Aged Survey Mailing, Annual Notice of Change Letter, Health Care Risk Assessment mailings, and all other necessary compliance mailings.
  9. Submit monthly reports to the Membership Manager, enrollment applications processed and returned, member appointments scheduled, and number of mailed packets and returned mail.



Education and/or Experience:  High school diploma or general education degree (GED)

Recent Medicare/Healthcare experience

Call Center (1 year experience)

Knowledge of Medicare Managed Care Plans

Part D

Chapter 2 knowledge

Type 40wpm

Bi-lingual English/Spanish, English/Vietnamese,  English/Korean highly desired



We have 5 immediate openings and would to discuss your qualifications!

Ask about our $100.00 Referral Bonus program

We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the California Fair Employment and Housing Act (FEHA).

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