enrollment consultant

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><div><b>
Position Summary
</b></div><div><div><div><div><div><div><div><div><div><p>In this role as a Senior Eligibility Consultant you will:</p><ul><li><p>
Process accurate and timely policy and eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet plan sponsor needs</p></li><li><p>
Collaborate with business partners to understand enterprise initiatives and goals</p></li><li><p>
Respond to eligibility and other enrollment related issues</p></li><li><p>
Partner directly with clients, vendors, internal teams, and/or local claim operation to resolve problems and achieve positive outcomes</p></li><li><p>
Anticipate and prevent problems and roadblocks before they occur</p></li><li><p>
Solve complex problems and take a new perspective on existing solutions</p></li><li><p>
Design, develop, and deliver transitional training processes and procedures to smooth the transition for newly hired employees from formalized classroom training to the department&rsquo;s production environment; mentor junior team members</p></li><li><p>
Assist with and/or evaluate recommendations involving eligibility reporting solutions and negotiate with internal/external clients</p></li><li><p>
Deliver consulting services in support of data discrepancies and/or involving reporting alternatives</p></li></ul><p><b><br>
Required Qualifications</b></p><ul><li><p>
2+ years experience as an Eligibility Consultant</p></li><li><p>
Proficiency in processing accurate and timely policy and eligibility data, ensuring services and products meet the plan sponsor needs</p></li><li><p>
Understands intent/end state and operates with minimal guidance to meet that intent/end state</p></li><li><p>
Ability to manage multiple tasks and shifting priorities</p></li><li><p>
A team player capable of operating independently when needed</p></li><li><p>
Provides accurate and timely results</p></li><li><p>
Delegates and follows up as needed</p></li><li><p>
Coaches and mentors others</p></li><li><p>
Ability to manage high work volume and oversee a variety of incoming work flows</p></li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li><p>
Industry knowledge</p></li><li><p>
Enrollment processing experience</p></li></ul><p><b><br>
Education</b></p><ul><li><p>
High School diploma, G.E.D. or equivalent experience</p></li></ul></div></div></div></div></div></div></div></div></div><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$18.50 - $38.82<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 03/27/2026<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Senior Eligibility Consultant

Stride, Inc.

<div><div>Job Description</div>
Support Operations focuses on processes and teams including: general office administration and clerical support; reception/telephone/switchboard; mailroom &amp; filing support. High School diploma or GED, at least 2 years of related experience<div>
Certificates and Licenses: None required.</div><div></div><div>
Residency Requirements: Missouri</div><div></div><div>
The Enrollment Coordinator / Document Processor plays a vital role within our remote call/contact center team, focusing on the efficient handling of student enrollment documentation. Key responsibilities include downloading, uploading, reviewing, and approving or rejecting student documents for enrollment. This position is responsible for processing enrollment applications, managing student records, and maintaining accurate and compliant student files. The role requires strong technical proficiency in our systems, strict adherence to state and school compliance standards, and the ability to consistently meet performance goals. Success in this position depends on managing high workloads with professionalism, accuracy, and efficiency. This is an excellent opportunity to contribute to our mission of helping families access quality education while being part of a dynamic and collaborative team environment.</div><div></div><div>
K12, a Stride Company, believes in Education for ANY ONE. We provide families with an online option for a high-quality, personalized education experience. Students can thrive, find their passion, and learn in an environment that encourages discovery at their own pace.</div><div></div><div>
KEY RESPONSIBILITIES</div><ul><li>
Document Management: Review, process, and maintain enrollment applications and student files with accuracy and adherence to compliance standards. Enter and organize enrollment documents, such as transcripts, birth certificates, proof of residency, and immunization records, into the student records system.</li><li>
Document Processing: Verify and maintain information related to prospective and current student accounts, activities, and enrollments. Follow established guidelines for document processing, including quality, productivity, and attendance expectations. Ensure all incoming enrollment documents meet school and state compliance requirements.</li><li>
System Proficiency: Use technical systems effectively to manage documentation and enrollment tasks. Maintain secure access to sensitive student records, including special education documents, ensuring confidentiality.</li><li>
Customer Support: Provide assistance across various communication channels, including phone, chat, email, and SMS, as needed, to support families and staff.</li><li>
Workload Adaptability: Adjust to varying workloads and departmental needs, assisting with diverse inquiries and tasks based on demand. Collaborate with school staff and other departments to review and process student records efficiently. This role requires a high level of organization, adaptability, and commitment to delivering quality results in a fast-paced environment.</li></ul><div></div><div>
Essential Functions:</div><ul><li>
System Proficiency and Multi-Tasking: Efficiently navigate and switch between multiple systems while assisting families. Assist families via a chat function to help answer and address document related inquiries.</li><li>
Prioritization and Results-Driven Performance: Effectively manage competing priorities to meet role-specific Key Performance Indicators (KPIs) consistently.</li><li>
Problem-Solving and School Support: Demonstrate excellent troubleshooting and research skills to resolve practical issues and support various schools and their policies. Escalate incoming and outgoing student record requests to Escalation Team.</li><li>
Data Management: Accurately record document-related or chat-related data in the Salesforce CRM tool within designated timeframes.</li><li>
Policy Compliance: Adhere to corporate and departmental policies regarding attendance, schedule adherence, conduct, and data security, ensuring the protection of family and student information.</li><li>
Remote Work and Flexibility: Thrive in a quiet remote work environment with a high degree of autonomy while adhering to a defined shift schedule. Employees are expected to be fully present and give full attention to their work while on the clock. Flexibility is essential, as shifts may change based on business needs, meaning hour requirements could drop down to 20 hours a week during non-peak season.</li></ul><div></div><div>
Required Qualifications:</div><ul><li>
High School Diploma / GED and relevant work experience, OR</li><li>
Minimum of 2 years&rsquo; experience in a similar call center role</li><li>
Ability to clear required background check.</li></ul><div></div><div>
DESIRED QUALIFICATIONS:</div><ul><li>
Previous experience with Stride/K12</li><li>
Salesforce Experience</li><li>
Previous customer service work</li><li>
Perform sedentary work involving typing, listening, speaking, extensive reading, and repetitive motions.</li><li>
Maintain a distraction-free, professional home office during work hours.</li><li>
Participate in virtual training sessions via webcam.</li><li>
Own or have daily access to a smart device (e.g., phone, tablet) capable of downloading and using apps.</li><li>
Proficient in Microsoft Office Suite (Outlook, Word, Excel, Teams) and web-based systems.</li><li>
Strong attention to detail and accuracy.</li><li>
Effective written communication skills, particularly for documenting approvals or rejections.</li><li>
Ability to review, interpret, and apply compliance guidelines consistently.</li><li>
Adaptability to feedback and guidance from Quality Assurance and management.</li><li>
Prioritize and manage tasks effectively to meet deadlines and achieve results.</li><li>
Work independently as well as collaboratively in a team environment.</li><li>
Ability to own and execute projects with minimal supervision.</li></ul><div></div><div>
System Requirements:</div><ul><li>
Our work from home members are required to have and maintain High-speed internet connection. At the minimum 50Mbps download speed and 10Mbps upload speed, if not competing with other household users. For the sake of call quality, satellite, DSL, data plans, wireless or dial-up services are not compatible.</li><li>
Some Internet service providers enable what is called SIP ALG (Session Initiation Protocol Application Layer Gateway). This interferes with our systems and must be disabled by the provider.</li><li>
Ethernet connection is preferred.</li></ul><div></div><div>
Compensation &amp; Benefits: Stride, Inc. considers a person&rsquo;s education, experience, and qualifications, as well as the position&rsquo;s work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee&rsquo;s salary level. Salaries will differ based on these factors, the position&rsquo;s level and expected contribution, and the employee&rsquo;s benefits elections. Offers will typically be in the bottom half of the range.</div><div></div><div>
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div><ul><li>
This position is virtual and open to residents in Missouri</li></ul><div></div><div>
The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is &ldquo;at-will&rdquo; as governed by the law of the state where the employee works. It is further understood that the &ldquo;at-will&rdquo; nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.</div><div></div><div>
Job Type</div>
Regular<div></div><div>
The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is &ldquo;at-will&rdquo; as governed by the law of the state where the employee works. It is further understood that the &ldquo;at-will&rdquo; nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.</div><div></div><div><i>
If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you can request the appropriate accommodation by contacting </i><i>stridecareers@k12.com.</i></div><div></div><div>
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities</div><div>
Stride, Inc. is an equal opportunity employer. Applicants receive consideration for employment based on merit without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status, or any other basis prohibited by federal, state, or local law. Stride, Inc. complies with all legally required affirmative action obligations. Applicants will not be discriminated against because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.</div></div>

Enrollment Coordinator

Ensemble Health Partners

<div><div>Thank you for considering a career at Ensemble!</div><div></div><div>
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.</div><div></div><div>
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!</div><div></div><div>
O.N.E Purpose:</div><ul><li><div>
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</div></li><li><div>
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</div></li><li><div>
Striving for Excellence: Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</div></li></ul><div></div><div>
The Opportunity:</div><div></div><div><br>
</div><div>CAREER OPPORTUNITY OFFERING:</div><ul><li>
Bonus Incentives</li><li>
Paid Certifications</li><li>
Tuition Reimbursement</li><li>
Comprehensive Benefits</li><li>
Career Advancement</li><li>
This position pays between $16.50 - $18.65/hr. based on experience</li></ul><div></div><div>
**REMOTE Opportunity**</div><ul><li>
The EDI &ndash; EFT &amp; ERA Enrollment of Cash Application performs all enrollment activities across Ensemble Health Partners which includes hospital and physician locations. The EDI &ndash; EFT &amp; ERA Enrollment Specialist is responsible for the timely and accurate enrollment processing within multiple Clearinghouses for both client and payer for the EDI related file processing. Job duties include, but are not limited to, submitting enrollment applications through the clearinghouses, utilizing payer portals for EDI related maintenance, working with other departments within Ensemble to keep up-to-date client W9&rsquo;s &amp; Bank letters, connection set up between the client and their clearinghouse, verifying all files are being transferred correctly and available for electronic processing by the Ensemble cash teams.</li></ul><div></div><div>
Essential Job Functions:</div><ul><li>
Responsible for driving the Ensemble culture through values and customer service standards.</li></ul><ul><li>
Accountable for outstanding customer service to all external and internal contacts.</li></ul><ul><li>
Develops and maintains positive relationships through effective and timely communication.</li></ul><ul><li>
Takes initiative and action to respond, resolve and follow up regarding issues with all customers in a timely manner</li></ul><ul><li>
Maintain multiple payer portals for each client to ensure timely enrollment of EFT&rsquo;s (Electronic Funds Transfers) to the validated client bank account</li></ul><ul><li>
Maintain multiple payer site set ups for each client to ensure timely enrollment for ERA delivery to correct client clearinghouse</li></ul><ul><li>
Accuracy of information when completing all submitted enrollment forms that contain client banking data</li></ul><ul><li>
Utilizing &amp; maintaining multiple client EFT &amp; ERA set ups for multiple payer websites</li></ul><ul><li>
Work from multiple client clearinghouses</li></ul><ul><li>
Maintain Administrative access to client related information according to Ensemble&rsquo;s Compliance standards as well as federal guidelines</li></ul><ul><li>
Enrollment submission follow up</li></ul><ul><li>
Meeting Productivity and Quality</li></ul><ul><li>
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.</li></ul><div></div><div>
Job Experience: 3 to 5 Years</div><div></div><div>
MUST HAVES:</div><ul><li>
3-5 years of Healthcare Cash Posting, Medical Office, Insurance, or Billing back-ground preferred</li><li>
Previous EFT &ndash; (Electronic Funds Transfer), ERA &ndash; (Electronic Remittance Advice)/835, EDI &ndash; (Electronic Data Interchange) experience is required.</li><li>
Must have advanced knowledge and experience with Excel (possessing the ability to use spreadsheets, graphing, tables, calculations, and automation efficiently to process large quantities of data relevant to business tasks).</li><li>
Revenue Cycle</li><li>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</li><li><div>
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.</div></li></ul><div></div><div>
Preferred Knowledge, Skills and Abilities:</div><ul><li>
Associates degree or equivalent experience preferred but not required</li></ul><div></div><div>
Join an award-winning company</div><div></div><div>
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025</div><div>
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024</div><div>
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024</div><div>
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024</div><div>
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023</div><div>
Energage Top Workplaces USA 2022-2024</div><div>
Fortune Media Best Workplaces in Healthcare 2024</div><div>
Monster Top Workplace for Remote Work 2024</div><div>
Great Place to Work certified 2023-2024</div><ul><li><div>
Innovation</div></li><li><div>
Work-Life Flexibility</div></li><li><div>
Leadership</div></li><li><div>
Purpose + Values</div></li></ul><div></div><div>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:</div><ul><li><div>
Associate Benefits &ndash; We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</div></li><li><div>
Our Culture &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.</div></li><li><div>
Growth &ndash; We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</div></li><li><div>
Recognition &ndash; We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</div></li></ul><div></div><div>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.</div><div></div><div>
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact <div>TA@ensemblehp.com</div>.</div><div></div><div>
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.</div><div></div><div><div>
EEOC &ndash; Know Your Rights</div><br>
<div>FMLA Rights - English</div></div><div><div>
La FMLA Espa&ntilde;ol</div></div><div><div>
E-Verify Participating Employer</div> (English and Spanish)</div><div><div>
Know your Rights</div></div></div>

Enrollment Specialist

Ultimate Staffing

<div>
 <p>
  Work from home Call Center opportunity
 </p>
 <p>
  You will be supporting the enrollment department of one of the best technical colleges in the US! You will conduct video meetings with new students to assist them with the enrollment process.
 </p>
 <p>
  MUST live in AZ.
 </p>
 <p>
 </p>
 <p>
  Standard Schedule (Monday-Friday):
 </p>
 <p>
  Mon-Thurs 12pm-6pm AZ time Saturday 8am-2pm Saturday
 </p>
 <p>
  Pay-$19 per hour
 </p>
 <p>
 </p>
 <p>
  1 to 2 years of customer service experience required
 </p>
 <p>
  MUST live in Arizona
 </p>
 <p>
  Inbound call center preferred
 </p>
 <p>
 </p>
 <p>
  Interviews will be conducted by Zoom and position will start ASAP!
  <br/>
 </p>
 <p>
  <em>
   All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.
  </em>
 </p>
</div>


Enrollment Specialist (MUST live in Arizona)

Gainwell Technologies

<div>
 Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
 <br/>
 <br/>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 As a
 <strong>
  Provider Enrollment Specialist - Tucker, GA (Hybrid)
 </strong>
 at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position.
 <br/>
 <br/>
 <strong>
  Your role in our mission
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Verify and audit documents for accuracy; cross-check numerical data against reports.
  </li>
  <li>
   Prepare document batches for data entry and imaging.
  </li>
  <li>
   Process and track various forms, mail, and transactions to ensure timely and accurate handling.
  </li>
  <li>
   Respond to written inquiries, correspondence, and requests.
  </li>
  <li>
   Prepare, reconcile, and maintain reports for management and clients.
  </li>
  <li>
   Collect and verify data to process vouchers, billings, and other documentation.
  </li>
  <li>
   Expedite the processing of checks, invoices, and related transactions, following up as needed to meet client standards and SLAs.
  </li>
  <li>
   Handle confidential company and client data in compliance with policies and guidelines.
  </li>
  <li>
   Perform administrative tasks including photocopying, filing, and typing forms or labels.
  </li>
  <li>
   Office environment
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What We're Looking For
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school diploma or GED required.
  </li>
  <li>
   2&ndash;3 years of experience in provider enrollment, medical billing, credentialing, or related healthcare administration.
  </li>
  <li>
   Strong understanding of provider enrollment processes and requirements with excellent customer service and communication skills.
  </li>
  <li>
   High attention to detail and accuracy.
  </li>
  <li>
   Proficient in data entry and basic office tools.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What You Should Expect In This Role
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Hybrid role based in Tucker, GA.
  </li>
  <li>
   Standard schedule: Monday&ndash;Friday, 8:00 AM &ndash; 5:00 PM EST.
  </li>
  <li>
   Onsite training required for the first 3&ndash;6 weeks.
  </li>
  <li>
   Video cameras required during all interviews and the first week of orientation.
  </li>
  <li>
   Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Employee Benefits &amp; Perks:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  </li>
  <li>
   401(k) with company match and additional benefits become available within the first few months.
  </li>
  <li>
   Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  </li>
  <li>
   Career growth and advancement opportunities are encouraged and supported.
  </li>
  <li>
   A company-provided computer is supplied for work use.
   <br/>
   <br/>
  </li>
 </ul>
 The pay range for this position is $30,500.00 - $43,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
 <br/>
 <br/>
 We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
 <br/>
 <br/>
 <em>
  Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
  <br/>
  <br/>
 </em>
</div>


Provider Enrollment Specialist - Tucker, GA (Hybrid)

NFP Corp

<div><p><b>Who We Are:
</b></p><p>NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance who has also earned the WORK180 employer endorsement. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.</p>
<p><b>
Summary</b>: The Consultant is responsible for working with Advisors and Account Executives to service client accounts. The position requires supporting them in day to day account management for a specific set of clients and entails a great deal of verbal, electronic and other written communications. The Consultant will have responsibility for managing the renewal and marketing process from start to finish, in conjunction with the Account Executives and Advisors. In addition, this person prepares materials for presentations and communications and assists team members with day-to-day client servicing. At this level, the Consultant leads open enrollment presentations and manages the OE communication process and takes an active speaking role in client meetings. While in this role, this person should be maintaining relationships with clients and carrier contacts and working proactively to effectively and efficiently deliver services to clients</p>
<p><b>
Essential Duties and Responsibilities:
</b></p><ul><li>Works proactively to maintain relationships with carrier and client contacts. Takes significant role in meetings and on calls. Communicates directly with clients and vendors.</li>
<li>The Consultant will have responsibility for managing the renewal and marketing process from start to finish, in conjunction with the Account Executives and Advisors.</li>
<li>Reviews, benefit plan summaries, and carrier source documents for accuracy. Understands more difficult and complex regulatory language and rules.</li>
<li>May have an assigned book of business.</li>
<li>May serve as a mentor to more junior team members, trains more junior team members.</li>
<li>Develops and maintains ongoing relationships with clients and their employees. Communicates directly with them and relies on a growing knowledge of the details of various insurance coverages.</li>
<li>Develops relationships with carrier representatives in order to better understand available products and services in the marketplace and recommend them to clients</li>
<li>Acts as the subject matter expert on benefits and vendor/carrier products and services. Gets assistance on complex situations or products from more senior team members</li>
<li>Begin to anticipate client needs, works with Account Executives / Advisors to resolve.</li>
<li>Reviews request for proposals and insurance plan analyses, negotiate with carriers and recommend renewal actions.</li>
<li>Drafts client presentations in collaboration with Account Executives or Advisors; takes active role in client meetings</li>
<li>Update benefit guides, ensure client resources and communications are up to date following open enrollment or coverage change</li>
<li>Prepare document and data for annual client compliance audits to be presented by Account Executive, may take active role in presentation</li>
<li>Attend to client requests including product or vendor service or performance challenges</li>
<li>Ensure 5500 form is filed and completed in a timely manner</li>
<li>May provide updates to clients regarding appropriate industry trends and events, including all state and federal regulatory issues</li>
<li>Understands and articulates alternative funding strategies.</li>
<li>Proactive client service support in conjunction with the account management team</li>
<li>Oversees client projects such as implementation of new business, open enrollment process, non-discrimination testing, etc.</li>
<li>Interprets plan rules to ensure compliance with Plan Documents and Summary Plan Descriptions</li>
<li>Provides informal leadership and training to more junior team members, based on experience, without official supervisory responsibility.</li>
</ul>
<p><b>Knowledge, Skills, and/or Abilities:
</b></p><ul><li>Knowledge of benefits administration, HealthCare Reform, industry trends, carrier products and services</li>
<li>Ability to work independently and anticipate client and team needs</li>
<li>Effective time management and decision making skills</li>
<li>Diligent follow up skills</li>
<li>Ability to express ideas clearly in both written and oral communications</li>
<li>Strong Microsoft Excel and PowerPoint skills</li>
<li>Commanding presentation and public speaking abilities</li>
</ul>
<p><b>Education and/or Experience:
</b></p><ul><li>BA/BS preferred</li>
<li>Typically more than 5 years industry and product line experience</li>
</ul>
<p><b>Certificates, Licenses, Registration:
</b></p><ul><li>Life, Accident and Health Insurance License required.</li>
</ul>
<p><b>What We Offer:</b></p>
<p>
We're proud to offer a competitive salary, PTO &amp; paid holidays, 401(k) with match, exclusive discount programs, health &amp; wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $74,000 &ndash; $124,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.</p>
<p><b>
NFP and You... Better Together!</b></p>
<p><i>
NFP is an inclusive Equal Employment Opportunity employer.</i></p></div>

Benefits Consultant

The Garden of Eve

<p><b>Job Title:</b></p><p>Credentialing Specialist</p><p><b>Who We Are</b></p><p>7 KINGS CODE is US based Software solutions company. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.</p><p><b>Education &amp; Experience Required:</b></p><ul><li>Bachelor&rsquo;s degree in healthcare administration, business, or a related field preferred. Equivalent experience may be considered.</li><li>4+ years of experience in credentialing, enrolment, or related roles in the medical billing industry.</li></ul><p><b>Skills Required:</b></p><ul><li>Solid experience in credentialing of Clinics and Labs</li><li>Familiarity with Medicare, Medicaid, and commercial payer enrolment processes.</li><li>Proficiency in credentialing software and tools (e.g., CAQH ProView, PECOS).</li><li>Strong knowledge of medical billing processes and insurance verification.</li><li>Familiarity with HIPAA and other healthcare regulations.</li></ul><p><b>Job Location: </b>Onsite, DHA Phase 8 - Ex Park View, Lahore.</p><p><b>Job Timings:</b> PAK TIME: 5:30PM to 02:30AM</p><p>Apply with your latest cv at: hr@7kingscode.com</p><p>Job Type: Full-time</p><p>Ability to commute/relocate:</p><ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul><p>Education:</p><ul><li>Bachelor's (Required)</li></ul><p>Experience:</p><ul><li>Credentialing of Clinics and Labs: 4 years (Required)</li></ul><p>Work Location: In person</p><p>Job Type: Full-time</p><p>Pay: Rs100,000.00 - Rs150,000.00 per month</p><p>Work Location: In person</p>

Credentialing & Enrollment specialist

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