Enrollment Coordinator

Description

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Verify and ensure beneficiary meets criteria to enroll per CMS guidelines.
• Conducting daily enrollment process based on Medicare regulations and guidelines.
• Responsible for entering and auditing enrollment applications into the member system and ensuring that each beneficiary meets all the criteria required.
• Examine/verify documents for correctness, adequacy and conformity to establish requirement and follow up on discrepancies.
• Perform administrative tasks including, but not limited to: scanning, filing, and attaching member record files to the system, etc.
• Responsible for generating ID cards, creating post enrollment kits for mailing, printing, and mailing enrollment letters.
• Regular and consistent attendance
• Other duties as assigned 

Requirements

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE: 

• Bachelor’s Degree or Associate’s Degree preferred, but not required.
• Minimum of 1 year of experience in a clerical or administrative role.
• Strong computer and typing skills.
• Strong communication skills.
• Ability to multi-task and work collaboratively in a team environment.