Enrollment Representative

Alignment Health

. Process all new plan enrollments .

Posted 10/6/2026full-timeOrange • California • United StatesJuniorMid-Level💰 $41,600 - $57,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in processing enrollments and compliance with Medicare guidelines, alongside strong communication and organizational skills. Proficient in data entry and reporting, with a focus on customer service and relationship management.

Highest-signal resume keywords

Medicare Managed Care KnowledgeData Entry ProficiencyCustomer Service ExperienceEffective Communication SkillsProblem-Solving Abilities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryEnrollment ProcessingReport WritingBasic ArithmeticCompliance Tasks

Soft Skills

Effective CommunicationOrganizational SkillsTime ManagementLeadershipCollaboration

Tools & Technologies

CMS FilesData System

Certifications & Qualifications

High School DiplomaGEDBachelor's Degree (Preferred)

Industry Keywords

Managed CareMedicare GuidelinesCustomer Relationship ManagementSales LiaisonCompliance

About the role

Key responsibilities & impact

Process all new plan enrollments
Research, validate, and reconcile enrollments using error reports and daily CMS files
Complete data entry within the required timeframe
Send correspondence to members or CMS to gather information or provide correction updates
Review the TRR daily
Submit daily transaction files to CMS
Ensure enrollments, denials, and rejects comply with Medicare guidelines
Liaise with Sales Representatives and ensure new enrollments are processed properly
Escalate identified issues to appropriate internal department heads
Enter enrollment applications and disenrollments into the plan's data system
Track pending enrollments requiring additional qualification information
Assist with compliance tasks and required mailings, including Working Aged Survey, Annual Notice of Change, and Health Care Risk Assessment mailings
Submit monthly reports to the Membership Manager covering applications processed and returned, member appointments scheduled, and mailed and returned packets

Requirements

What you’ll need

Minimum 2 years of customer service experience
Direct sales or related experience preferably in the Managed Care industry (preferred)
High School Diploma or GED
Bachelor's degree or four years additional experience in lieu of education
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others
Knowledge of Medicare Managed Care Plans
Effective written and oral communication skills
Ability to establish and maintain constructive relationships with diverse members, management, employees and vendors
Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals
Ability to write routine reports and correspondence
Ability to speak effectively before groups of customers or employees
Ability to perform basic arithmetic using American money, weight, volume, and distance measurements
Common-sense reasoning and ability to follow detailed written or oral instructions
Effective problem-solving, organizational, and time-management skills
Ability to work in a fast-paced environment
Bi-lingual (English/Spanish) (preferred)
Ability to meet the stated physical demands, including standing, walking, sitting, handling objects, reaching, and lifting/moving up to 10 pounds