West Coast Wound & Skin Care
Insurance Enrollment Counselor
West Coast Wound & Skin Care, Burbank, California, United States, 91520
Overview
An established wound care organization located in Los Angeles County is actively recruiting a meticulous and seasoned Medicare Insurance Enrollment Counselor to join our healthcare team. We are seeking a results-driven, customer-focused Medicare Enrollment Counselor with Medicare enrollment experience to guide clients through the traditional Medicare enrollment and Medicare Advantage disenrollment process. Explains supplemental plan options and assist with plan selection and Part D enrollment.
Key Responsibilities
Meet with prospective and current clients to assess Medicare eligibility, needs, and preferences; explain options (Original Medicare, Medicare Advantage, Part D, Medigap) in clear, understandable terms
Assist clients with enrollment applications and changes (e.g., initial enrollment, Annual Enrollment Period, special enrollments) and ensure timely, accurate submission to the appropriate carriers or CMS portals
Maintain up-to-date knowledge of Medicare rules, plan benefits, premiums, networks, and formulary changes; communicate updates to clients as needed
Interpret and explain plan costs, coverage levels, premiums, deductibles, copays, and out-of-pocket maximums
Perform contract and credentialing tasks as required (e.g., licensing and certifications) and maintain all state and federal compliance requirements
Conduct needs-based sales conversations while adhering to CMS policies and company compliance standards
Schedule and conduct outreach (phone, virtual, or in-person) to generate interest, educate clients, and close enrollments
Coordinate with licensed agents or brokers as needed; collaborate with customer service, underwriting, and policy administration teams to resolve issues
Prepare and deliver client-facing materials, quotes, and enrollment confirmations; provide ongoing support during the first enrollment year and during any plan changes
Ensure privacy and security in accordance with HIPAA and company policies
Qualifications
High school diploma or equivalent; bachelor’s degree preferred
Knowledge of Medicare program rules, plan structures (Original Medicare, Medicare Advantage, Part D, Medigap), and enrollment periods
Attention to detail and strong data entry accuracy for enrollments and policy records
Problem-solving skills and the ability to handle objections professionally
Willingness to travel to client meetings or community events as needed (varies by employer)
Bilingual abilities may be a plus depending on client population
Experience Requirements
Essential: Minimum one year of Medicare Enrollment experience within skilled nursing facilities or long-term care environments
Required: At least one year of experience with Medicare, Medicaid, HMO, and additional insurance eligibility and health plan enrollment knowledge
Preferred: Familiarity with Point Click Care (PCC) billing system operations
Licenses and Certifications AHIP or equivalent Medicare training certification is highly desired but not a condition for employment.
Work Environment Typically office-based with opportunities for remote or hybrid work; some fieldwork may be required for community outreach, meetings, and enrollment events. Fast-paced, compliance-driven environment with a strong focus on ethical sales practices.
Compensation and Benefits Competitive base salary plus commission/bonuses based on enrollments and performance. Health, dental, vision, and retirement benefits; paid time off; professional development support. Opportunities for career advancement within sales, advisory, or leadership tracks.
Equal Opportunity We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or other protected status.
Job Location Hybrid remote in Burbank, CA 91505
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Key Responsibilities
Meet with prospective and current clients to assess Medicare eligibility, needs, and preferences; explain options (Original Medicare, Medicare Advantage, Part D, Medigap) in clear, understandable terms
Assist clients with enrollment applications and changes (e.g., initial enrollment, Annual Enrollment Period, special enrollments) and ensure timely, accurate submission to the appropriate carriers or CMS portals
Maintain up-to-date knowledge of Medicare rules, plan benefits, premiums, networks, and formulary changes; communicate updates to clients as needed
Interpret and explain plan costs, coverage levels, premiums, deductibles, copays, and out-of-pocket maximums
Perform contract and credentialing tasks as required (e.g., licensing and certifications) and maintain all state and federal compliance requirements
Conduct needs-based sales conversations while adhering to CMS policies and company compliance standards
Schedule and conduct outreach (phone, virtual, or in-person) to generate interest, educate clients, and close enrollments
Coordinate with licensed agents or brokers as needed; collaborate with customer service, underwriting, and policy administration teams to resolve issues
Prepare and deliver client-facing materials, quotes, and enrollment confirmations; provide ongoing support during the first enrollment year and during any plan changes
Ensure privacy and security in accordance with HIPAA and company policies
Qualifications
High school diploma or equivalent; bachelor’s degree preferred
Knowledge of Medicare program rules, plan structures (Original Medicare, Medicare Advantage, Part D, Medigap), and enrollment periods
Attention to detail and strong data entry accuracy for enrollments and policy records
Problem-solving skills and the ability to handle objections professionally
Willingness to travel to client meetings or community events as needed (varies by employer)
Bilingual abilities may be a plus depending on client population
Experience Requirements
Essential: Minimum one year of Medicare Enrollment experience within skilled nursing facilities or long-term care environments
Required: At least one year of experience with Medicare, Medicaid, HMO, and additional insurance eligibility and health plan enrollment knowledge
Preferred: Familiarity with Point Click Care (PCC) billing system operations
Licenses and Certifications AHIP or equivalent Medicare training certification is highly desired but not a condition for employment.
Work Environment Typically office-based with opportunities for remote or hybrid work; some fieldwork may be required for community outreach, meetings, and enrollment events. Fast-paced, compliance-driven environment with a strong focus on ethical sales practices.
Compensation and Benefits Competitive base salary plus commission/bonuses based on enrollments and performance. Health, dental, vision, and retirement benefits; paid time off; professional development support. Opportunities for career advancement within sales, advisory, or leadership tracks.
Equal Opportunity We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or other protected status.
Job Location Hybrid remote in Burbank, CA 91505
#J-18808-Ljbffr