PES Account Specialist

symplr•,

11d•$20 - $24•Remote

About The Position

The PES Account Specialist manages provider enrollment into Federal, State, and commercial health plans. The role coordinates with provider offices to gather data and documents, complete applications, and follow up with health plans until providers are fully enrolled. It also advises provider offices on enrollment procedures and best practices. This is a remote opportunity.

Requirements

At least 2 years of directly applicable experience in Payor/Provider Enrollment or Credentialing.
Experience with Microsoft Office Suite, including Word, PowerPoint, and Excel.
Ability to work positively in a team environment, with teamwork and leadership skills.
Superior attention to detail and organizational skills.
Excellent time management, resource organization, prioritization, and multitasking skills in a fast-paced environment.
Ability to communicate effectively, verbally and in writing, with people at all levels inside and outside the company.
Ability to manage assigned projects independently, make decisions, and work without supervision.
Flexibility, customer focus, strong organizational skills, and attention to detail.
Ability to meet project deadlines and communicate anticipated delays to a manager or director in advance.
Proficiency with credentialing systems and ability to learn new systems and processes quickly.

Nice To Haves

Bachelor's degree desired.
Healthcare industry background is a plus.

Responsibilities

Communicate with providers or designated contacts about the paperwork required to begin enrollment and explain expected timelines.
Research payer requirements to determine the information needed to enroll providers.
Follow up with designated contacts to obtain application signatures and required supporting documents.
Enter provider demographic and enrollment data into the software system.
Scan enrollment documents and applications into the software system.
Contact health plans to request applications or required enrollment actions, and follow up by phone or email until provider numbers are issued.
Prepare and distribute Payor Affiliation Reports and Status Notes to designated contacts every 2–3 weeks to communicate enrollment progress and approved provider numbers.
Interact positively in a team environment and professionally with company staff and occasional outside organizations.
Use verbal and written communication to resolve issues.
Perform other duties as assigned.