Top 132 Enrollment and eligibility representative Jobs in Downey, Ca

Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative
CalOptima —Orange, CA
- Weekends as needed
- Remote
- Background check
- Microsoft Outlook
- Writing skills
- Tuition reimbursement
- Paid time off
4d
Eligibility Specialist I
Southern California United Food & Commercial Workers Unions and Food Employers Joint Benefit Funds A —Cypress, CA
- $31 an hour
- Full-time
- Microsoft Outlook
- Customer service
- HIPAA
- Military leave
- Parental leave
1d
Eligibility Specialist/Care Coordinator
Roots Through Recovery —Long Beach, CA
- $23 - $30 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
Quick Apply
Early Childhood Substitute Permitted Teacher
TEACH-LA —Los Angeles, CA
- $27 - $30 an hour
- Temporary
- Bilingual
- Background check
- Classroom
- Employee discount
- Flexible schedule
Quick Apply
Customer Service Representative (Bilingual)
Community Choice Financial Family of Brands —North Hollywood, CA
- $21 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
Homelessness Solutions/Housing Manager
City of Downey, CA —Downey, CA
- $96,858.53 - $119,991.25 a year
- Full-time
- Writing skills
- Pass drug screening
- Office
- Life insurance
Outreach & Enrollment Representative
Family Health Care Centers of Greater Los Angeles, Inc. —Bell Gardens, CA
- Overtime
- Spanish
- Microsoft Excel
- Computer literacy
- AD&D insurance
- Disability insurance
Benefits Coordinator
City of Compton, CA —Compton, CA
- $79,747.80 - $93,499.20 a year
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Disability insurance
6d
Enrollment Specialist
Central Neighborhood Hlth Fdn —Inglewood, CA
- $25 an hour
- Full-time
- Spanish
- CPR Certification
- Medical office experience
- Health insurance
Quick Apply
Customer Service Representative - Reception
East Valley Community Health Center —West Covina, CA
- $22.00 - $25.98 an hour
- Spanish
- Computer literacy
- English
- Paid holidays
- Health insurance
Quick Apply
14d
People Support Center - Benefits Rep 1 (Contract)
Din Tai Fung North America —Arcadia, CA
- $33.27 - $40.75 an hour
- Full-time
- Hybrid work
- 18 years or older
- Spanish
- Office
13d
SOCIAL WORK INVESTIGATOR
Children's Law Center of California —Monterey Park, CA
- $23.98 - $41.21 an hour
- Full-time
- Hospital
- Mid-level
- Office
- Wellness program
- Commuter assistance
Quick Apply
ADMISSIONS REPRESENTATIVE
Spartan Education —Inglewood, CA
- $28.85 - $41.82 an hour
- Weekends as needed
- Spanish
- Writing skills
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Enrollment Specialist
Habitat Health —West Covina, CA
- $70,304 - $73,819 a year
- Spanish
- CPR Certification
- Current TB test
- COVID-19 protective measures
- Paid parental leave
Quick Apply
Management Trainee
XTRA Lease —Los Angeles, CA
- $42,000 - $49,000 a year
- Full-time
- Background check
- Business development
- Bachelor's degree
- Paid holidays
- Relocation assistance
14d
Community Resource Center Representative, Intermediate (Bilingual Spanish) - Metro L.A.
Blue Shield of California —Los Angeles, CA
- $21.73 - $30.43 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Pass drug screening
- Health insurance
- Work from home
Administrative Services Manager
Los Angeles Unified School District —Los Angeles, CA
- $128,652 - $159,407 a year
- Online Application
- School experience
- Research
- Office
- Paid holidays
- Health insurance
6d
Enrollment Counselor Floater
St Johns Community Health —Gardena, CA
- $30 an hour
- Weekends as needed
- Microsoft Word
- Spanish
- Microsoft Outlook
- 403(b) matching
- Paid holidays
Quick Apply
4d
Intake Specialist
SpecialtyCare Rx —Diamond Bar, CA
- $30 - $35 an hour
- Full-time
- Management
- Mid-level
- Office
Quick Apply

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Enrollment Representative

Champion Health Plan
Long Beach, CA

Quick Apply

Job Details

Full-time
From $23 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Customer communication
Interpersonal skills
Administrative experience
High school diploma or GED
Attention to detail
Problem-solving
Productivity software
Cross-functional collaboration

Full Job Description

Position Summary

Champion is seeking an experienced Enrollment Representative to support Medicare Advantage enrollment operations. This position is responsible for the accurate and timely processing of enrollment, eligibility, and membership transactions while ensuring compliance with CMS regulations and company policies.

The ideal candidate has experience in Medicare Advantage or managed care enrollment, enjoys working in a fast-paced environment, and is committed to accuracy, compliance, and exceptional customer service.

Responsibilities

As an Enrollment Representative, you will:

Process Medicare Advantage enrollment, disenrollment, eligibility, and membership transactions accurately and within required turnaround times.
Review enrollment applications and supporting documentation for completeness, accuracy, and CMS compliance.
Verify Medicare eligibility and required enrollment documentation.
Enter, maintain, and update member information in enrollment systems.
Process enrollment corrections, retroactive enrollments, eligibility updates, reconciliations, and membership adjustments.
Conduct outbound member outreach, including Outbound Enrollment Verification (OEV) calls, to verify enrollment requests, obtain missing information, resolve discrepancies, and support CMS compliance requirements.
Research and resolve enrollment discrepancies, transaction errors, and eligibility issues.
Maintain accurate electronic documentation to support regulatory compliance and audit readiness.
Respond to enrollment-related inquiries from members, brokers, providers, and internal departments.
Partner with Member Services, Broker Relations, Marketing, Compliance, and other departments to resolve enrollment issues efficiently.
Protect confidential member information and comply with HIPAA, CMS, and Fraud, Waste & Abuse (FWA) requirements.
Participate in quality audits, training, and process improvement activities.
Support departmental operations during Annual Enrollment Period (AEP), Open Enrollment Period (OEP), and other peak enrollment periods.
Other duties as assigned.

Qualifications

Required

High School Diploma or GED.
Minimum 3 year of experience in Medicare Advantage, managed care, health plan enrollment, eligibility, customer service, or a related healthcare administrative role.
Strong attention to detail and commitment to accuracy.
Excellent organizational, analytical, and problem-solving skills.
Effective verbal and written communication skills.
Ability to manage multiple priorities while meeting deadlines.
Ability to work effectively as part of a team and collaborate respectfully with coworkers, supervisors, and other departments.
Ability to receive, understand, and follow instructions, established procedures, coaching, and supervisory direction.
Flexibility to work overtime and weekends, as requested, during AEP, OEP, and other high-volume or peak operational periods.
Proficiency with Microsoft Office applications.

Preferred

Experience working in a CMS-regulated healthcare environment.
Knowledge of Medicare Advantage enrollment processes and CMS regulations.
Experience with enrollment and eligibility systems.
Bilingual (English/Spanish) is a plus.

Pay: From $23.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

enrollment and eligibility representative jobs in downey, ca

Enrollment Representative

Customer Service Representative

Eligibility Specialist I

Eligibility Specialist/Care Coordinator

Early Childhood Substitute Permitted Teacher

Customer Service Representative (Bilingual)

Homelessness Solutions/Housing Manager

Outreach & Enrollment Representative

Benefits Coordinator

Enrollment Specialist

Customer Service Representative - Reception

People Support Center - Benefits Rep 1 (Contract)

SOCIAL WORK INVESTIGATOR

ADMISSIONS REPRESENTATIVE

Enrollment Specialist

Management Trainee

Community Resource Center Representative, Intermediate (Bilingual Spanish) - Metro L.A.

Administrative Services Manager

Enrollment Counselor Floater

Intake Specialist

I want to receive the latest job alert for enrollment and eligibility representative in downey, ca

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