[Hiring] Healthcare Medicare Enrollment Specialist @Sutherland

Role Description

This is a Data Entry Representative role which 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
• 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.

• 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
• Prioritize and complete all job duty requirements
• Adhere to changes based on department and/or business

Qualifications

• Excellent written communication skills in English with strong clarity and accuracy
• Strong reading and listening comprehension skills in English to effectively process 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
• Productive and secure work environment, distraction-free
• High School Diploma or equivalent

Benefits

• Pay rate of $13.50/hour with the opportunity to receive additional PBI bonus up to $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

Company Description