Top 160 Remote medicare Jobs in Philadelphia, Pa

Medicare Enrollment Specialist
Core Value Insurance Group LLC —Feasterville-Trevose, PA
- $20 - $22 an hour
- Weekends as needed
- Remote
- HIPAA
- Mid-level
- Communication skills
Quick Apply
Medical Policy Administrative Coordinator - Hybrid (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Mid-level
- Office
- 3 years
Data Insight & Reporting Analyst
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Computer science
- Computer Science
- Mid-level
10d
Accounts Resolution Specialist I
Penn Medicine —Philadelphia, PA
- Hybrid work
- Mid-level
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Fully Remote Medicare Insurance Agent
Core Value Insurance Group LLC —Feasterville-Trevose, PA
- $75,000 - $150,000 a year
- Overtime
- Remote
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Assistant Actuary I (Medicare)
Independence Blue Cross —Philadelphia, PA
- Hybrid work
- Microsoft Excel
- 5 years
- Office
Clinical Director
Perez Therapy, LLC —Philadelphia, PA
- $90,000 - $120,000 a year
- Email
- Hybrid work
- Background check
- Private practice
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Certified Registered Nurse Practitioner (CRNP)
Digital Health Information —Huntingdon Valley, PA
- $50 - $70 an hour
- Full-time
- Nursing
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Part-Time Telehealth Physician (MD/DO)
Digital Health Information —Pennsylvania
- $80 - $100 an hour
- Part-time
- Hybrid work
- Medicine
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Regional Manager
Advocate Health Advisors, LLC —Philadelphia, PA
- $60,000 - $100,000 a year
- Full-time
- Remote
- Management
- Bachelor's degree
- Recruiting
- Health savings account
- Health insurance
Quick Apply
Licensed Health Insurance Agent- ($100k-$150k/year, $225/app)
NuLogic Business Solutions —Pennsylvania
- $100,000 - $150,000 a year
- Seasonal
- Remote
- Mid-level
- Reliable transportation
Quick Apply
1d
Licensed Psychiatric Mental Health Nurse Practitioner
Headway —Philadelphia, PA
- $120 - $210 an hour
- Choose your own hours
- Psychiatry
- Mid-level
- Telehealth
- Flexible schedule
- Referral program
Home Health Clinical Liaison / Business Development Representative
Caresify Home Care —Philadelphia County, PA
- $24 - $25 an hour
- Full-time
- Hybrid work
- Hospital
- Physical & Rehabilitation Medicine
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Licensed Psychiatric Mental Health Nurse Practitioner
Headway —Pennsylvania
- $120 - $210 an hour
- Choose your own hours
- Psychiatry
- Mid-level
- Telehealth
- Flexible schedule
- Referral program
Remote Medicare Sales Agent - Independent Contractor (1099)
MyPlanAdvocate —Pennsylvania
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
Medicare Sales Field Agent - South New Jersey
Humana —Cherry Hill, NJ
- $31,800 - $123,800 a year
- Weekends as needed
- Local
- Public speaking
- Mid-level
- Paid parental leave
- Paid holidays
2d
Medicare Sales Field Agent - South New Jersey
Humana —Woodbury, NJ
- $31,800 - $123,800 a year
- Weekends as needed
- Local
- Public speaking
- Mid-level
- Paid parental leave
- Paid holidays
2d
Medicare Sales Field Agent - South New Jersey
Humana —Glassboro, NJ
- $31,800 - $123,800 a year
- Weekends as needed
- Local
- Public speaking
- Mid-level
- Paid parental leave
- Paid holidays
2d
Remote Independent Medicare Sales Agent (1099)
MyPlanAdvocate —Pennsylvania
- $65,000 - $85,000 a year
- Contract
- Remote
- Mid-level
Nurse Practitioner
ComplexCare Solutions —Camden County, NJ
- $2,400 - $10,000 a month
- PRN
- Bilingual
- CPR Certification
- RN License
- Health insurance
- 401(k)
Quick Apply
2d

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Medicare Enrollment Specialist

Core Value Insurance Group LLC
Feasterville-Trevose, PA

Quick Apply

Job Details

Full-time
$20 - $22 an hour

Qualifications

Customer communication
Health Insurance License

Full Job Description

The Medicare Enrollment Specialist is responsible for accurately completing Medicare enrollments for eligible beneficiaries while ensuring full compliance with CMS regulations and carrier requirements. This role serves as the final quality checkpoint before an application is submitted, verifying all enrollment details, reviewing plan benefits, and ensuring each beneficiary fully understands their coverage and enrollment decision. The Enrollment Specialist works closely with Producing Agents to deliver an exceptional customer experience while maintaining the highest standards of accuracy and compliance.

Essential Duties and Responsibilities

Review all information provided by the Producing Agent to ensure the enrollment package is complete before beginning the enrollment.
Conduct the required introduction and recording statement.
Re-read the Scope of Appointment (SOA) in its entirety.
Verify the Medicare plan name with the beneficiary.
Review and verify all physicians, specialists, and prescription medications.
Confirm the beneficiary understands if any providers are out-of-network.
Conduct a complete Summary of Benefits (SOB) review.
Review each prescription drug, including:
- Applicable formulary tier.
- Prior authorization requirements.
- Quantity limits.
- Step therapy requirements.
- Any medications not included on the formulary.
Read the required enrollment and transition statements in full.
Obtain an affirmative response from the beneficiary acknowledging understanding before proceeding.
Complete the Medicare enrollment application by asking every application question directly to the beneficiary without pre-filling responses.
Verify all application information for completeness and accuracy.
Read all required CMS and carrier disclosures.
For D-SNP and C-SNP enrollments, complete all required disclosures before initiating the IVR process.
Obtain the beneficiary's application signature in accordance with carrier requirements.
Provide the beneficiary with their enrollment confirmation number.
Provide the beneficiary with the Producing Agent's direct contact information.
Complete a Health Risk Assessment (HRA) whenever available and applicable.
If an HRA cannot be completed, document the reason and notify the Producing Agent promptly.
Ensure all enrollments comply with CMS regulations, carrier guidelines, and company policies.
Maintain accurate documentation and protect confidential member information in accordance with HIPAA requirements.
Collaborate with Producing Agents, management, and carrier partners to resolve enrollment issues in a timely manner.
Perform other duties as assigned.

Qualifications

Active resident health insurance license in good standing.
Must be eligible to obtain and maintain appointments with all required Medicare carriers.
Prior Medicare Advantage, Prescription Drug Plan (PDP), Medicare Supplement, or health insurance enrollment experience preferred.
Working knowledge of CMS Medicare regulations and compliance requirements preferred.
Strong attention to detail and commitment to accuracy.
Excellent verbal communication and customer service skills.
Ability to explain complex benefit information clearly and professionally.
Strong organizational and time management skills.
Ability to work in a fast-paced, performance-driven environment.
Knowledge, Skills, and Abilities
Thorough understanding of Medicare enrollment processes and compliance requirements.
Ability to identify discrepancies and ensure complete, accurate applications.
Strong listening skills and ability to build rapport with beneficiaries.
Ability to manage multiple enrollments while maintaining quality standards.
Proficiency with CRM systems, enrollment platforms, and Microsoft Office applications.
Ability to maintain confidentiality and handle sensitive information with discretion.

Physical Requirements

Prolonged periods of sitting while working on a computer and speaking on the telephone.
Ability to remain focused during extended periods of customer interaction.
Ability to occasionally lift up to 15 pounds.

Work Environment

This position operates in a professional office or remote work environment and requires frequent interaction with beneficiaries, Producing Agents, carrier representatives, and internal departments. During the Medicare Annual Enrollment Period (AEP), additional hours, including evenings and weekends, may be required to meet business needs.

Quick Apply

Refine Your Search

remote medicare jobs in philadelphia, pa

Medicare Enrollment Specialist

Medical Policy Administrative Coordinator - Hybrid (PA/NJ/DE)

Data Insight & Reporting Analyst

Accounts Resolution Specialist I

Fully Remote Medicare Insurance Agent

Assistant Actuary I (Medicare)

Clinical Director

Certified Registered Nurse Practitioner (CRNP)

Part-Time Telehealth Physician (MD/DO)

Regional Manager

Licensed Health Insurance Agent- ($100k-$150k/year, $225/app)

Licensed Psychiatric Mental Health Nurse Practitioner

Home Health Clinical Liaison / Business Development Representative

Licensed Psychiatric Mental Health Nurse Practitioner

Remote Medicare Sales Agent - Independent Contractor (1099)

Medicare Sales Field Agent - South New Jersey

Medicare Sales Field Agent - South New Jersey

Medicare Sales Field Agent - South New Jersey

Remote Independent Medicare Sales Agent (1099)

Nurse Practitioner

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