Top 78 Enrollment eligibility representative Jobs in Orange Ca

Enrollment Representative
Champion Health Plan —Long Beach, CA
- From $23 an hour
- Overtime
- Background check
- Spanish
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
9d
Center Director
Brella —Newport Beach, CA
- $75,000 - $85,000 a year
- Full-time
- Classroom
- 6 years
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
3d
Senior Accountant – Benefits
Good Food Holdings —Carson, CA
- $80,000 - $100,000 a year
- Full-time
- Oracle
- CPA
- Basic math
- Paid training
- Health savings account
Quick Apply
Medical Billing & Provider Credentialing Specialist (Part-Time)
Virtue Medical Group —Santa Ana, CA
- $23 - $28 an hour
- Part-time
- Hybrid work
- Spanish
- Medical office experience
- HIPAA
- Flexible schedule
Quick Apply
2d
Customer Enrollment Representative
Confidencial —Anaheim, CA
- $3,950 - $4,800 a month
- Full-time
- Sales
- In-person
- Reliable transportation
Quick Apply
5d
AT&T Representative
SGV Connect —Corona, CA
- $3,200 - $4,200 a month
- Full-time
- 18 years or older
- High school diploma or GED
- In-person
- 401(k)
Quick Apply
4d
Clinical Research Principal Investigator
Ark Clinical Research —Long Beach, CA
- $130 - $200 an hour
- Part-time
- Microsoft Word
- Background check
- Medicine
Quick Apply
3d
Customer Service Representative I
Word & Brown Companies —Orange, CA
- $20.50 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Customer Service Representative I
WESTERN GROWERS GROUP —Irvine, CA
- $35,288.32 - $49,874.31 a year
- Full-time
- Remote
- Spanish
- Writing skills
- Data analysis skills
Quick Apply
2d
Eligibility Specialist/Care Coordinator
Roots Through Recovery —Long Beach, CA
- $23 - $30 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
Quick Apply
2d
Member Services Representative
Astiva Health —Orange, CA
- $24 - $29 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
CCSB Eligibility Specialist I
WESTERN GROWERS ASSURANCE TRUST —Irvine, CA
- $35,288.33 - $45,874.31 a year
- Full-time
- Remote
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
2d
Customer Service Representative - Reception
East Valley Community Health Center —La Puente, CA
- $21.00 - $24.80 an hour
- Spanish
- Hospital
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Customer Service Representative I (2796)
Word & Brown Companies —Orange, CA
- $20.50 an hour
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Admissions and Records Coordinator
Rio Hondo College —Whittier, CA
- $7,747.98 - $9,914.07 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- High school
3d
Enrollment Navigator
FAMILIES TOGETHER OF ORANGE COUNTY —Tustin, CA
- $27 an hour
- 8 hour shift
- Spanish
- Mid-level
- High school diploma or GED
Quick Apply
Telesales Representative - SCAN Temp
SCAN Health Plan —Long Beach, CA
- $21.64 an hour
- Full-time
- Remote
- Background check
- Mid-level
- Older adults
- 401(k) matching
- Paid sick time
Quick Apply
Patient Service Representative
THE CHILDREN'S CLINIC —Long Beach, CA
- $21.50 - $23.00 an hour
- Full-time
- Microsoft Word
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply
Enrollment Specialist
Habitat Health —West Covina, CA
- $68,640 - $72,800 a year
- Spanish
- CPR Certification
- Current TB test
- COVID-19 protective measures
- Paid parental leave
Quick Apply
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

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Enrollment Representative

Champion Health Plan
Long Beach, CA

Quick Apply

Job Details

Full-time
From $23 an hour
9 days ago

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 eligibility representative jobs in orange ca

Enrollment Representative

Center Director

Senior Accountant – Benefits

Medical Billing & Provider Credentialing Specialist (Part-Time)

Customer Enrollment Representative

AT&T Representative

Clinical Research Principal Investigator

Customer Service Representative I

Customer Service Representative I

Eligibility Specialist/Care Coordinator

Member Services Representative

CCSB Eligibility Specialist I

Customer Service Representative - Reception

Customer Service Representative I (2796)

Admissions and Records Coordinator

Enrollment Navigator

Telesales Representative - SCAN Temp

Patient Service Representative

Enrollment Specialist

Outreach & Enrollment Representative

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