Specialty Healthcare Enrollment Analyst - RemitConnect
About The Position
The CommerceHealthcare® RemitConnect® team is looking for an Enrollments Analyst who will be responsible for leading and managing the RCM dependencies of health plan and insurance payer remittance and payment enrollment activities for new client implementations across all health system sizes with enrollments in scope. As our organization continues to expand, the ideal candidate must be detail-oriented, able to work in a fast-paced environment, experienced in navigating multiple platforms, construct recommendations, and communicate inter-departmentally. The main purpose of this job is to be responsible for leading and managing the RCM dependencies of health plan and insurance payer remittance and payment enrollment activities for new client implementations across all health system sizes with enrollments in scope.
Requirements
- Strong knowledge of Salesforce or CRM solutions, including knowledge of best practices
- Intermediate project management or project life cycle skills
- Strong analytical skills with the ability to collect, organize, and present data findings
- Knowledge of the revenue cycle management process
- Strong critical thinking skills
- 5-10% travel as necessary
- Motivated and organized self-starter with strong attention to detail and the ability to manage multiple priorities
- Inquisitive, agile, and strong team player with excellent written, verbal, and interpersonal communication skills
- Ability to remain adaptable and resilient to all situations with an optimistic outlook and cast a positive shadow that is aligned with our culture and Core Values
- Advance level proficiency with Microsoft Word, Excel, Teams, and Outlook
- Bachelor’s degree or equivalent combination of education and experience required
- 2+ years healthcare payer experience required
Nice To Haves
- 2+ years client facing project management experience preferred
- 2+ years healthcare payments posting experience preferred
Responsibilities
- Alongside the RemitConnect® Implementation Project Manager, participate and/or lead client calls to discuss healthcare payments workflow, discovery, and scope design
- Communicate when further enrollment information is required for a payer
- Work with external teams to validate NPI NPPES accounts and confirm group enrollments
- Responsible for identifying and correcting enrollment discrepancies
- Maintain a comprehensive understanding of systems and rules used in revenue cycle to assist in the establishment of processes and data collection, and monitor effectiveness of these processes
- Report and monitor payer enrollment activities and present data to client and internal stakeholders
- Actively identify opportunities for improvement, appropriate solutions, and involve necessary stakeholders
- Support healthcare client and health plan requests via email and phone
- Perform other duties as assigned
Benefits
- employer sponsored health, dental, and vision insurance
- 401(k)
- life insurance
- paid vacation
- paid personal time
- career development
- education assistance
- voluntary supplemental benefits
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees
