P-17800 Managed Care Enrollment Specialist I

Job Title: Managed Care Enrollment Specialist I

Location: Remote / WFH (Work from Home)

Department: Managed Care

Employment Type: Full-time

Job Summary:
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!

This position offers….

• 
  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

• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce.

• Remote Work Opportunity - Enjoy the flexibility and comfort of working from home

• Additional Perks & Benefits - Scroll down to bottom of this post to learn more

• 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.

• High school diploma, GED, or equivalent required.
• Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.
• Healthcare Revenue Cycle experience preferred.

• 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.