Managed Care Enrollment Specialist (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
- health
- dental
- vision
- retirement
- disability
- life insurance
- wellness program
- generous paid time off
- Telemedicine – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
- Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
