Enrollment Specialist, ADAP

Latham NY 12110 15 Cornell Rd

Job Description

This position is responsible for processing, data entry and file maintenance of enrollment, assessment and dis-enrollment documentation for strategic business unit (SBU) operations.
  • Effectively supports Magellan's SBU program operations ensuring that data is entered accurately and timely as required by contract service level agreements.  
  • Communicates with appropriate contacts on eligibility issues and questions.  
  • Answers incoming calls on eligibility, program benefits, plan limitations and point of sale edits from providers.  
  • Proficient use of enrollment and claims point of sale for research and problem resolution.
  • Assists in data collection and reporting.  
  • Completes bi-weekly checkwrite production for provider payment in the accounts payable system, reporting all operational issues and assisting with system issues.
  • Assists with quality monitoring and provides constructive feedback.
  • Reviews production reports, identifies issues and recommends resolutions.
  • Continually seeks to improve processes and increase efficiencies.
  • Assists in data collection and reporting.
  • Other special projects as required by management.

General Job Information


Enrollment Specialist, ADAP



Job Family

Customer Service Group


United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date


Date Requisition Created


Work Experience

Managed Healthcare, Medicaid, Medicare



License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements


  • 2+ years of experience in a Medicare/Medicaid managed care environment.
  • Working knowledge of Medicare and Medicaid enrollment and reconciliation requirements, CMS reporting, and data analysis.
  • Solid understanding of the Medicare and Medicaid payment methodology.
  • Strong verbal and written communication skills.
  • Organized with strong attention to detail.
  • Ability to meet deadlines.
  • Strong working knowledge of Microsoft Office Product Suite.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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