P-17800 Managed Care Enrollment Specialist I

Brightli • Springfield, MO

2d • Remote

About The Position

Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you have exceptional organizational skills, strong communication abilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care Enrollment Specialist I! As a Managed Care Enrollment Specialist I, you'll have the opportunity to work remotely and make a real difference in the lives of patients and providers. You'll be responsible for enrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care. We're looking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency. If you're a team player with excellent communication skills and a strong work ethic, we encourage you to apply!

Requirements

• High school diploma, GED, or equivalent required.
• Excellent customer service, time management, and communication skills (oral and written).
• Excellent organization skills and attention to detail.
• Analytical skills and the ability to research industry topics and policies, translating information into actionable items.
• Ability to multitask on various projects while meeting different deadlines.

Nice To Haves

• Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.
• Healthcare Revenue Cycle experience preferred.

Responsibilities

• Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
• Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.
• Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
• Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
• Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.
• Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.

Benefits

• Employee Assistance Program – 24/7 counseling services, legal assistance , & financial consultation for you and your household at no cost
• Mileage Reimbursement – Company paid for work functions requiring travel
• Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition
• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED