benefits enrollment specialist

First Financial Capital

<div><div>Job Title: Benefits Assistant
Reports to: Regional Sales Manager
Location: Abilene, TX (FFC) 
Position Description
The Benefits Assistant will work within the Abilene Independent School District but will be an employee of First Financial Group of America. The position will have reporting responsibilities to the FFGA Regional Sales Manager but the majority of the assignments/work will be directed and assigned by the AISD Benefits Team. As a key member of the benefits team the Benefits Assistant will be responsible for organization and oversight of all aspects of the benefits enrollment process for new hires throughout the year. Additionally, the position will organize and present information at annual enrollments. Working closely with our third-party administrator, this position will ensure all school district employees and staff benefits are processed accurately. Additionally, the position will perform other administrative duties as assigned by Abilene ISD.
Duties include but are not limited to the following:<div><ul><li>
Organize and oversee all aspects of the benefits enrollment process for new hires throughout the year</li><li>
Organize and present information at annual enrollment meetings</li><li>
Monitor the preparation, printing, and maintenance of supplies for insurance information such as plan documents, benefits bulletins, annual enrollment packets, etc.</li><li>
Assist with preparing all benefits specialty information and materials, including the benefits booklet</li><li>
Collaborate with the First Financial Group of America Departments to distribute electronic benefits notifications to all employees</li><li>
Help to prepare bid specifications</li><li>
Assist with Affordable Care Act Reporting (ACA) reporting</li><li>
Cross train in the duties that are performed by the Benefits Specialists</li><li>
Provide assistance in a variety of methods (through meetings, over the phone, via email and other forms of communication) to employees with any benefits-related questions</li><li>
Other duties as assigned by department administration</li></ul></div> 
Qualifications:<div><ul><li>
High School Diploma or GED</li><li>
Bilingual &ndash; English/Spanish preferred</li><li>
Knowledgeable and proficient in Microsoft Suite (Word, Excel, PowerPoint, Adobe, Publisher)</li><li>
Excellent telephone skills</li><li>
Two (2) years of public school and/or corporate administrative experience preferred</li><li>
Two (2) years of administrative and/or customer service experience.</li><li>
Group 1 Life &amp; Health license preferred</li></ul></div> 
In accordance with the state law, FFGA will conduct and obtain a criminal history record on all applicants for employment. Criminal history record information is privileged information and for the use of the Abilene Independent School District and the Central Education Agency.
Only persons with the required credentials and background will be considered.
The Abilene Independent School District &amp; FFGA do not discriminate on the basis of age, color, disability, national origin, race, or sex in the educational programs or activities which it operates and is an Equal Opportunity Employer.
This position is being recruited and hired by First Financial Group of America but will work at Abilene ISD in their administration building located at 241 Pine Street, Abilene, TX 79601.</div></div>

Benefits Assistant

VSP Vision

<div>Under little supervision, Benefit Fair Representatives educate employees and encourage membership enrollment at VSP Vision Care client benefit fairs. Benefit Fair Representatives will travel to VSP client locations or participate virtually during the open enrollment period to explain the VSP plan(s) offered by the company, answer questions, and assist members and potential members to determine what best meets their needs and the benefits of enrolling with VSP.
Interact with potential and existing VSP members directly (in a group setting or one-on-one), helping them understand the necessity of annual eye exams, what choices they have in the plans provided, and the true value of VSP as their benefits provider 
 
Provide visitors with plan information and answer any questions about the plans offered
Refer members to Customer Service for any issues that can&rsquo;t be answered on-site 
 
Interact with Vision Care Marketing and Sales at times to confirm fair/plan details, as well as the client event contact, to ensure that materials arrive and that their representation meets expectations 
 
May give presentations on the VSP benefit
Interact with Vision Care Sales on presentation details and expectations 
 
Provide fair details and feedback electronically after the fair 
 
Assist in the collection and facilitation of information or data as requested by VSP 
 
Maintains inventory of materials necessary to represent VSP at fairs 
 
Job Specifications 
 
Typically has the following skills or abilities: 
 
The insurance industry or human resources experience is ideal 
 
Previous experience working in customer service, HR/benefits, or health insurance preferred 
 
Professional and friendly conduct, with excellent organization skills, attention to detail, and the ability to multitask 
 
Excellent communication skills with all levels of people within an organization 
 
Flexible and able to quickly and effectively change priorities and direction 
 
Comfortable speaking to small groups and giving presentations to larger groups, if necessary, either in person or in a virtual setting
Ability to adapt and be flexible with varying client needs 
 
Access to personal cell phone and email, and proficient with the internet 
 
Access to a personal webcam and audio to participate in virtual events
Can comfortably set up and manage user account information on multiple online tools 
 
Show valid proof of auto insurance
Ability to plan and schedule travel and out-of-town accommodations 
 
Ability to lift 25 pounds 
 
Business attire required (VSP Polo shirt provided) unless directed otherwise 
 
Ability to walk or stand 90% of the day as needed when attending onsite events 
 
Bilingual (English/Spanish) is not required, but a plus 
 
Open weekday availability throughout the year and especially between September and November (Depending on the area of the country, there could be anywhere from 5-25 fair assignments during this peak time or throughout other times of the year)
#LI-REMOTE
#LI-VISIONCARE
<div><div><div><div><div><div><div><div><div><div><div><div><div><div>VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status . We maintain a drug-free workplace and perform pre-employment substance abuse testing.
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws.
Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 
 
We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.
As a regular part of doing business, VSP Vision (&ldquo;VSP&rdquo;) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.</div>

Benefit Fair Representative - Seasonal/Part-Time

<div>Under little supervision, Benefit Fair Representatives educate employees and encourage membership enrollment at VSP Vision Care client benefit fairs. Benefit Fair Representatives will travel to VSP client locations or participate virtually during the open enrollment period to explain the VSP plan(s) offered by the company, answer questions and assist members and potential members to determine what best meets their needs and the benefits of enrolling with VSP.
Interact with potential and existing VSP members directly (in a group setting or one-on-one), helping them understand the necessity of annual eye exams, what choices they have in the plans provided, and the true value of VSP as their benefits provider 
 
Provide visitors with plan information and answer any questions about the plans offered
Refer members to Customer Service for any issues that can&rsquo;t be answered onsite 
 
Interact with Vision Care Marketing and Sales at times to confirm fair/plan details as well as the client event contact to ensure that materials arrived and that their representation meets expectations 
 
May give presentations on the VSP benefit
Interact with Vision Care Sales on presentation details and expectations 
 
Provide fair details and feedback electronically after the fair 
 
Assist in the collection and facilitation of information or data as requested by VSP 
 
Maintains inventory of materials necessary to represent VSP at fairs 
 
Job Specifications 
 
Typically has the following skills or abilities: 
 
The insurance industry or human resources experience is ideal 
 
Previous experience working in customer service, HR/benefits, or health insurance preferred 
 
Professional and friendly conduct, with excellent organization skills, attention to detail, and the ability to multitask 
 
Excellent communication skills with all levels of people within an organization 
 
Flexible and able to quickly and effectively change priorities and direction 
 
Comfortable speaking to small groups and giving presentations to larger groups if necessary, either in person or in a virtual setting
Ability to adapt and be flexible with varying client needs 
 
Access to personal cell phone and email, and proficient with the internet 
 
Access to personal webcam and audio to participate in virtual events
Can comfortably set up and manage user account information on multiple online tools 
 
Show valid proof of auto insurance
Ability to plan and schedule travel and out-of-town accommodations 
 
Ability to lift 25 pounds 
 
Business attire required (VSP Polo shirt provided) unless directed otherwise 
 
Ability to walk or stand 90% of the day as needed when attending onsite events 
 
Bilingual (English/Spanish) is not required but a plus 
 
Open weekday availability throughout the year and especially between September and November (Depending on the area of the country, there could be anywhere from 5-25 fair assignments during this peak time or throughout other times of the year)
#LI-REMOTE
#LI-VISIONCARE
<div><div><div><div><div><div><div><div><div><div><div><div><div><div>VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status . We maintain a drug-free workplace and perform pre-employment substance abuse testing.
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws.
Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 
 
We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.
As a regular part of doing business, VSP Vision (&ldquo;VSP&rdquo;) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.</div>

<div>Under little supervision, Benefit Fair Representatives educate employees and encourage membership enrollment at VSP Vision Care client benefit fairs. Benefit Fair Representatives will travel to VSP client locations or participate virtually during the open enrollment period to explain the VSP plan(s) offered by the company, answer questions and assist members and potential members to determine what best meets their needs and the benefits of enrolling with VSP.
Interact with potential and existing VSP members directly (in a group setting or one-on-one), helping them understand the necessity of annual eye exams, what choices they have in the plans provided, and the true value of VSP as their benefits provider. 
 
Provide visitors with plan information and answer any questions about the plans offered
Refer members to Customer Service for any issues that can&rsquo;t be answered onsite 
 
Interact with Vision Care Marketing and Sales at times to confirm fair/plan details as well as the client event contact to ensure that materials arrived and that their representation meets expectations 
 
May give presentations on the VSP benefit. Interact with Vision Care Sales on presentation details and expectations 
 
Provide fair details and feedback electronically after the fair 
 
Assist in the collection and facilitation of information or data as requested by VSP 
 
Maintains inventory of materials necessary to represent VSP at fairs 
 
Job Specifications 
 
Typically has the following skills or abilities: 
 
The insurance industry or human resources experience is ideal 
 
Previous experience working in customer service, HR/benefits, or health insurance preferred 
 
Professional and friendly conduct, with excellent organization skills, attention to detail, and the ability to multitask 
 
Excellent communication skills with all levels of people within an organization 
 
Flexible and able to quickly and effectively change priorities and direction 
 
Comfortable speaking to small groups and giving presentations to larger groups if necessary, either in person or in a virtual setting
Ability to adapt and be flexible with varying client needs 
 
Access to personal cell phone and email, and proficient with the internet 
 
Access to personal webcam and audio to participate in virtual events
Can comfortably set up and manage user account information on multiple online tools 
 
Show valid proof of auto insurance
Ability to plan and schedule travel and out-of-town accommodations 
 
Ability to lift 25 pounds 
 
Business attire required (VSP Polo shirt provided) unless directed otherwise 
 
Ability to walk or stand 90% of the day as needed when attending onsite events 
 
Bilingual (English/Spanish) is not required but a plus 
 
Open weekday availability throughout the year and especially between September and November (Depending on the area of the country, there could be anywhere from 5-25 fair assignments during this peak time or throughout other times of the year)
#LI-REMOTE
#LI-VISIONCARE
<div><div><div><div><div><div><div><div><div><div><div><div><div><div>VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status . We maintain a drug-free workplace and perform pre-employment substance abuse testing.
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws.
Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 
 
We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.
As a regular part of doing business, VSP Vision (&ldquo;VSP&rdquo;) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.</div>

<div>Under little supervision, Benefit Fair Representatives educate employees and encourage membership enrollment at VSP Vision Care client benefit fairs. Benefit Fair Representatives will travel to VSP client locations or participate virtually during the open enrollment period to explain the VSP plan(s) offered by the company, answer questions and assist members and potential members to determine what best meets their needs and the benefits of enrolling with VSP.
Interact with potential and existing VSP members directly (in a group setting or one-on-one), helping them understand the necessity of annual eye exams, what choices they have in the plans provided, and the true value of VSP as their benefits provider 
 
Provide visitors with plan information and answer any questions about the plans offered
Refer members to Customer Service for any issues that can&rsquo;t be answered onsite 
 
Interact with Vision Care Marketing and Sales at times to confirm fair/plan details as well as the client event contact to ensure that materials arrived and that their representation meets expectations 
 
May give presentations on the VSP benefit. Interact with Vision Care Sales on presentation details and expectations 
 
Provide fair details and feedback electronically after the fair 
 
Assist in the collection and facilitation of information or data as requested by VSP 
 
Maintains inventory of materials necessary to represent VSP at fairs 
 
Job Specifications 
 
Typically has the following skills or abilities: 
 
The insurance industry or human resources experience is ideal 
 
Previous experience working in customer service, HR/benefits, or health insurance preferred 
 
Professional and friendly conduct, with excellent organization skills, attention to detail, and the ability to multitask 
 
Excellent communication skills with all levels of people within an organization 
 
Flexible and able to quickly and effectively change priorities and direction 
 
Comfortable speaking to small groups and giving presentations to larger groups if necessary, either in person or in a virtual setting. Ability to adapt and be flexible with varying client needs 
 
Access to personal cell phone and email, and proficient with the internet 
 
Access to personal webcam and audio to participate in virtual events
Can comfortably set up and manage user account information on multiple online tools 
 
Show valid proof of auto insurance
Ability to plan and schedule travel and out-of-town accommodations 
 
Ability to lift 25 pounds 
 
Business attire required (VSP Polo shirt provided) unless directed otherwise 
 
Ability to walk or stand 90% of the day as needed when attending onsite events 
 
Bilingual (English/Spanish) is not required but a plus 
 
Open weekday availability throughout the year and especially between September and November (Depending on the area of the country, there could be anywhere from 5-25 fair assignments during this peak time or throughout other times of the year)
#LI-REMOTE
#LI-VISIONCARE
<div><div><div><div><div><div><div><div><div><div><div><div><div><div>VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status . We maintain a drug-free workplace and perform pre-employment substance abuse testing.
</div></div></div></div></div></div></div></div></div></div></div></div></div></div>Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws.
Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 
 
We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.
As a regular part of doing business, VSP Vision (&ldquo;VSP&rdquo;) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.</div>

Medsien

<div>
 
 Enrollment Specialist
 
 
 
 Are you a
 
 Certified Medical Assistant
 
 looking to continue in healthcare from a remote position? While still helping patients? Look no further, Medsien is a leading provider of Chronic Care Management and Remote patient monitoring services to medical practices across the United States.
 
 
 Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement, improve outcomes, and optimize operational efficiency. Hundreds of organizations trust Medsien's unparalleled technology solutions to implement exceptional remote care management programs, personalize every interaction, and improve the lives of those who need it most. We are committed to innovation, collaboration, and delivering exceptional service to our clients and their patients. Based in San Francisco and venture-backed by top-tier investors, Medsien was founded to reimagine remote care management. Our company is committed to improving the lives of patients living with chronic health conditions. We prioritize compassion, integrity, and excellence in all our interactions and operations.
 
 
 Here at
 
 Medsien
 
 , our Certified Medical Assistants are able to take their clinical experience, knowledge, insight, and empathy to improve patients' health care, experiences, and outcomes. Comprehensive chronic care management benefits patients with 24/7 access to physicians and clinical staff who can meet their urgent and ongoing needs. CCM also benefits practices by electronically capturing all patient interactions for real-time continuity of care.
 
 
 Patient enrollment is the first step in helping our patients and providers manage their chronic conditions more effectively. If patients aren't taking advantage of our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs, they are missing out on a key tool in managing their Chronic illnesses. Our
 
 Enrollment Specialists
 
 (Certified Medical Assistants) use their training and knowledge to help patients understand the value of utilizing our CCM and RPM programs. Once they understand that enrollment in these programs allows the providers and our team to make real-time, data-driven decisions, they are eager to participate. Improving patient care and clinical outcomes is what we strive to accomplish every day. Medsien's personalized approach to patient care is unparalleled in the industry. Our goal is for patients to feel as comfortable with us as they do when visiting their provider's office. We prioritize compassionate quality care.
 
 
 As an
 
 Enrollment Specialist
 
 you will educate and enroll eligible patients from our established clinic partnerships. You will connect with eligible patients through outbound calls, resulting in enrollments to achieve your weekly goals. You will help patients navigate and enroll in these programs to better their health and achieve their wellness goals.
 
 
 As an Enrollment specialist you'll receive competitive pay including paid training. Fully remote capabilities (Within US only) and better work life balance.
 
 
 Company Values: Our company is committed to improving the lives of patients living with chronic health conditions. We prioritize compassion, integrity, and excellence in all our interactions and operations.
 
 
 If you are passionate about making a meaningful difference in the lives of patients and are eager to embark on a rewarding career in healthcare, we encourage you to apply for this Enrollment Specialist position. Join us in our mission to provide high-quality care and support to those who need it most.
 
 
 
 Key Responsibilities:
 
 
 
 <ul>
 <li>
 Patient Outreach:
 </li>
 <ul>
 <li>
 Initiate contact with potential CCM and RPM patients
 </li>
 <li>
 Conduct initial assessments to determine eligibility for CCM/RPM services based on established criteria.
 </li>
 </ul>
 </ul>
 
 
 <ul>
 <li>
 Education and Information Sharing:
 </li>
 <ul>
 <li>
 Clearly and compassionately explain the benefits of enrolling in a CCM/RPM program to patients and their families.
 </li>
 <li>
 Provide detailed information about the program's services, including remote monitoring, care coordination.
 </li>
 </ul>
 </ul>
 
 
 <ul>
 <li>
 Enrollment and Documentation:
 </li>
 <ul>
 <li>
 Assist eligible patients with the enrollment process, ensuring that all necessary forms and documentation are completed accurately.
 </li>
 <li>
 Maintain meticulous records of patient interactions, enrollment status, and program details.
 </li>
 </ul>
 </ul>
 
 
 <ul>
 <li>
 Compliance and Regulatory Knowledge:
 </li>
 <ul>
 <li>
 Stay up-to-date with the latest regulations and compliance standards related to CCM/RPM services.
 </li>
 <li>
 Ensure all patient enrollments adhere to legal and ethical standards.
 </li>
 </ul>
 </ul>
 
 
 <ul>
 <li>
 Performance Tracking:
 </li>
 <ul>
 <li>
 Monitor and track your enrollment performance, striving to meet or exceed enrollment goals.
 
 </li>
 </ul>
 </ul>
 
 Qualifications:
 
 
 
 <ul>
 <li>
 National Certification in Medical Assisting
 </li>
 <li>
 Residence in the US
 </li>
 <li>
 Strong communication skills, both written and verbal.
 </li>
 <li>
 Empathy and the ability to connect with patients and their families.
 </li>
 <li>
 Basic knowledge of chronic health conditions and their management.
 </li>
 <li>
 Comfortable using technology for documentation and communication.
 </li>
 <li>
 Attention to detail and strong organizational skills.
 </li>
 <li>
 Ability to work independently and as part of a team.
 </li>
 <li>
 Sales or customer service experience is a plus but not required.
 
 
 </li>
 </ul>
 
 Please note that having national certification in Medical Assisting from AAMA, NHA, NCCT, NAHP or similar is a hard job requirement and any single-state certifications, diplomas or completion certificates do not qualify.
 
 
 
 
 Training and Development:
 
 
 
 You will receive comprehensive training on CCM/RPM program details, enrollment processes, and communication techniques to ensure you are well-prepared for the role.
 
 
 If you are passionate about making a meaningful difference in the lives of patients and are eager to embark on a rewarding career in healthcare, we encourage you to apply for this Enrollment Specialist position. Join us in our mission to provide high-quality care and support to those who need it most. Please don't forget to attach your Medical Assistant certificate.
 
 
 
 This is a 1099 role and does not come with benefits
 
 
 
 
 Monday - Friday
 
 
 
 
 Our Process
 
 
 
 We will review your application along with all the others we receive and pick the top profiles for a screening call. In many cases due to time constraints and our candidate volume, only the short-listed candidates are contacted but we do consider each application carefully. If you have been selected as a short-listed candidate, we will contact you for a short screening call to get to know you better. If you don't get a call, please don't be disappointed! We receive many applications for each role and must prioritize who we speak to.
 
 
 Employment at
 
 Medsien
 
 is based solely on a person's merit and qualifications. We are committed to providing equal employment opportunity regardless of sex, age, race, color, national or ethnic origin, religion, marital status, pregnancy, sexual orientation, gender identity or expression, disability, age, citizenship, veteran or military status, and other legally protected characteristics.
 
 
 
 Thank you for taking the time to apply for a position at Medsien!
 
</div>

Remote Enrollment Specialist (Certified Medical Assistant)

Precise Behavioral INC.

Precise Behavioral is hiring!We are seeking a detail-oriented Payor Enrollment Specialist to join our team. The Payor Enrollment Specialist is responsible for end-to-end provider enrollment across multiple states for a behavioral health medical group. This includes psychiatrists, psychiatric NPs, therapists (LCSW), and other licensed clinicians delivering behavioral health services, both via telemedicine across state lines, and onsite services.Precise Behavioral (Precise) was established to revolutionize the behavioral healthcare ecosystem for patients, providers, and health plans. Precise is a physician-owned and led organization that enables a mix of digital, telehealth, in-person, and community resources for improved patient outcomes.Scope of service: This role ensures rapid provider onboarding, compliance with state and federal regulations, and timely reimbursement by managing enrollments with commercial payors, Medicare, and Medicaid (including telehealth-specific requirements).Schedule: Monday through Friday 8am-5pmKey Responsibilities:<ul><li>Manage enrollment for Psychiatrists (MD/DO), Psychiatric Nurse Practitioners (PMHNP), Therapists (LCSW, Psychologists).</li><li>Execute multi-state enrollments across commercial plans (e.g., national carriers, Blues plans, regional MCOs), Medicare (including telehealth billing eligibility), Medicaid and Medicaid Managed Care Organizations (MCOs).</li><li>Handle state-specific supervision/collaboration requirements (e.g., NP collaborative agreements where applicable).</li><li>Ensure providers are enrolled correctly for Place of Service (POS 02 &amp; 10), and Telehealth modifiers (e.g., 95, GT as required).</li><li>Understand and manage cross-state licensure implications for telehealth delivery, payor-specific telehealth policies (varies widely by state and plan), validate that enrollments align with virtual care billing rules to prevent denials.</li><li>Medicare &amp; Medicaid Specialization Medicare enrollment via PECOS (CMS-855I/B/R forms), and multi-state Medicaid enrollments (high variability across states).</li><li>Responsible for tracking revalidations, site/service location updates (critical for telehealth orgs).</li><li>Navigate Medicaid nuances such as behavioral health carve-outs, state-specific tele-mental health rules.</li><li>Commercial Payor Enrollment (Behavioral Health Focus), National carriers (e.g., UnitedHealthcare, Aetna, Cigna), Blues plans (state-specific), Behavioral health carve-outs (e.g., Optum Behavioral, Magellan).</li><li>Understand differences between facility vs. individual enrollment, group vs. solo provider enrollment, track delegated vs. non-delegated arrangements.</li><li>Partner with Recruiting &amp; Clinical Ops to align enrollment timelines with provider start dates, reduce days to first billable appointment, revenue leakage from enrollment delays.</li><li>Maintain dashboards tracking enrollment cycle times and payor activation status.</li><li>Maintain and attest CAQH ProView profiles</li><li>Ensure accuracy across NPI (Type 1 &amp; Type 2), state licenses, DEA (for prescribing clinicians).</li><li>Experience with credentialing/enrollment platforms (e.g., Modio, Verifiable, etc.)</li><li>Ensure compliance with CMS telehealth guidelines, State Medicaid behavioral health policies, NCQA / URAC (if delegated credentialing applies).</li><li>Maintain audit-ready documentation</li></ul>Must-Have Expertise:<ul><li>Multi-state Medicaid enrollment (behavioral health)</li><li>Medicare (PECOS) + telehealth billing alignment</li><li>Commercial payor behavioral health networks</li><li>Telehealth-Specific Competencies cross-state practice models, telehealth reimbursement rules</li><li>Ability to identify enrollment errors that cause claim denials in virtual care settings</li><li>High-volume, fast-paced enrollment execution</li><li>Strong tracking and follow-up discipline</li><li>Ability to manage ambiguity (common in telehealth scaling environments)</li></ul>Qualifications:<ul><li>3&ndash;6+ years of payor enrollment / credentialing experience</li><li>Medicare + multi-state Medicaid experience is required</li><li>Behavioral health provider enrollment is required</li><li>Telehealth experience is strongly preferred</li><li>Experience onboarding 50+ providers/year is required</li></ul>This position offers the opportunity to work in a supportive environment where you can make a meaningful impact on the lives of individuals seeking mental health care.Pay: From $27.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>end-to-end provider enrollment across multiple states for BH: 4 years (Required)</li><li>Behavioral health provider enrollment: 4 years (Required)</li></ul>Work Location: Remote

Payor Enrollment Specialist – Behavioral Health (Multi-State)

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Payor Enrollment Specialist – Behavioral Health (Multi-State)