Medicare Education & Enrollment Specialist

About the role

We are seeking a Medicare Education & Enrollment Specialist to join our team. The Medicare Education & Enrollment Specialist is responsible for supporting patient access to healthcare services by providing accurate, unbiased education on Medicare coverage options and assisting with Medicare and Medicaid enrollment processes. This role is ideal for a compassionate, detail-oriented professional who is committed to helping patients navigate complex healthcare coverage systems while ensuring compliance with applicable regulations and enrollment guidelines.

The Medicare Education & Enrollment Specialist works closely with patients, clients, and healthcare staff to verify and maintain accurate coverage information, identify eligibility for Medicare, Medicaid, Medicare Savings Programs, and Sliding Fee Scale (SFS) assistance, and reduce barriers to care. This position also assists patients in understanding coverage options, enrollment timelines, dual eligibility programs, and available public benefits, while maintaining strict neutrality and compliance by providing education without recommending or endorsing specific insurance plans.

Key Responsibilities

• Provides neutral education regarding Medicare coverage options including Traditional Medicare, Medicare Advantage, Medicare Part D and supplemental coverage
• Assists patients with Medicare Part A and Part B enrollment processes
• Assists patients with Medicaid enrollment applications and renewal processes
• Supports Sliding Fee Scale (SFS) application completion and documentation requirements
• Maintains certification as an Application Counselor, as required, and complies with all related regulatory standards
• Educates patients on enrollment periods, coverage transitions and potential late enrollment penalties
• Refers patients to independent resources for plan comparison and selection assistance
• Assists patients in understanding dual eligibility and Medicare/Medicaid coordination of benefits
• Supports applications for Medicare Savings Programs and Low-Income Subsidy
• Collaborates with internal staff to ensure accurate insurance documentation in Epic
• Works with billing and revenue cycle teams to verify Medicare and Medicaid eligibility and prevent coverage gaps
• Interacts with Social Security Administration, Department of Social Services and community partners as needed
• Tracks enrollment assistance activities and prepares periodic reports
• Participates in patient education efforts and outreach events
• Performs other related duties as assigned

Required Qualifications

• Associates or Bachelor’s Degree preferred in Healthcare Administration, Public Health or related field.
• Minimum three (3) years’ experience in health insurance eligibility enrollment or patient financial services
• Familiarity with Medicare and Medicaid programs
• Strong organizational and communication skills
• Ability to compile and analyze data with competency in Microsoft Word, Excel, Outlook and Power Point.
• Must be familiar with HIPAA and other privacy related laws and be sensitive to patients/clients’ confidentiality needs.
• Epic experience preferred

Why Join Us

Cornell Scott–Hill Health Center offers a competitive and mission‑driven environment with outstanding benefits, including:

• Above‑market, competitive salaries
• Sign-on bonus available for eligible positions and qualified candidates.
• Medical, Dental, Vision, Life Insurance, Short/Long‑Term Disability
• License reimbursement
• Eligibility for HRSA Loan Repayment Program may be available for qualified candidates.
• Public Service Loan Forgiveness (PSLF) eligibility is available through qualifying employment.
• Generous paid time off
• 401(k) with up to 5% match

CS-HHC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.