Healthcare - Medicare Enrollment Specialist

Company Description

We are seeking a The Healthcare Medicare Enrollment Specialist

This is a Data Entry Representative role whish is a full-time, permanent, Work at Home role based in the United States. This position is responsible for accurately entering and updating patient enrollment and billing information in healthcare systems and databases. Day-to-day tasks include reviewing documentation for completeness, validating insurance details, processing enrollment forms, and ensuring accurate billing codes and patient data. The representative will follow established procedures, comply with healthcare regulations and client policies, and escalate discrepancies or issues as needed. Collaboration with supervisors and team members to meet productivity and quality targets, as well as providing timely updates on work status, is an essential component of this role.

 

Job Description

 

• Accurately enter, update, and maintain provider information in internal systems
• Validate provider credentialing data, contracts, and demographic data to ensure accuracy
• Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations
• Conduct routine audits and reconciliations to maintain data integrity.
• Review and load the required data into the health plan system as the process guidelines require
• Manage and monitor daily activities and meet the set targets
• Work independently and complete the tasks in established timeframe with minimal supervision
• Must be able to prioritize and complete all job duty requirements
• Must be able to adhere to changes based on department and/or business

When you join us, you’ll enjoy:

• Pay rate of $13.50/hour with the opportunity to receive additional PBI bonus upto $1500 a month.
• Paid training same rate as hourly pay rate.
• Medical, dental, and vision plans.
• Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy).
• Company-provided equipment.
• Advancement opportunities – 80% of our frontline leaders have been promoted from within.
• Monthly rewards & recognition programs.
• Employee Discounts.
• EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland.
• Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST.

Qualifications

• Excellent written communication skills in English with strong clarity and accuracy
• Strong reading and listening comprehension skills in English to effectively process the requests
• Well-developed analytical, logical, and organizational abilities for problem-solving
• Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes
• Keen attention to detail with the capability to multitask in a fast-paced environment
• Strong customer focus, with a passion for delivering exceptional service and support
• Proficiency in Microsoft Office Suite and experience navigating web-based applications
• Knowledge of Medical terminology
• Typing speed of at least 40 words per minute, with accuracy and efficiency
• Excellent internet connectivity, Hard-Wired
  • Internet access speed of 2 Mbps upload and 10 Mbps download – the faster the better.
  • house network, and a hard-wired internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems)
• Productive and secure work environment, distraction-free.
• High School Diploma or equivalent

Additional Information

At Sutherland, we take the integrity of our hiring process seriously. We use verification and security measures throughout recruitment and employment to help prevent fraud and protect our candidates, employees, and clients. All candidates are expected to complete their own interviews and assessments. Providing false information, impersonating someone else, or having another person participate on your behalf may result in disqualification, withdrawal of an offer, or termination of employment. Suspected fraud may also be reported to the appropriate authorities or result in legal action, where warranted and permitted by law.

 

EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all 
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.