enrollment specialist

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

Choptank Community Health System

<p></p><div><p><b>Medical Biller &amp; Insurance Enrollment Specialist</b></p><p><b>
Job Summary</b>: The Medical Biller &amp; Insurance Enrollment Specialist is a hybrid role primarily responsible for leveraging the Athena EHR to ensure accurate charge posting, claim submission, timely adjudication, and optimal reimbursement. The hybrid role also involves insurance enrollment, including completing payer applications and maintaining provider schedules to ensure network participation and compliance. Key duties include charge posting, claim review, payment posting for select transactions, accounts receivable follow-up, and responding to inquiries from patients, staff, and management across multiple sites. As performance demonstrates capacity, this position may assume additional responsibilities within the revenue cycle. This is a nonexempt, full-time position in pay grade 4 with the pay range of $21.08 - $28.45. The Medical Biller &amp; Insurance Enrollment Specialist reports directly to the Revenue Cycle Manager.</p><p><b>
Required Skills/Abilities:</b></p><ul><li>
Must be able to work independently and manage multiple priorities.</li><li>
Familiarity with FQHC billing and compliance regulations.</li><li>
Ability to work with others in a team base setting.</li><li>
Must possess a valid drivers&rsquo; license and have dependable transportation.</li></ul><p><b>
Education and Experience:</b></p><ul><li>
High School Graduate or equivalent; associate or bachelor&rsquo;s degree preferred.</li><li>
A minimum of one to three years of experience in billing for a medical office, preferably in an FQHC environment.</li><li>
Prior experience with Athena is highly preferred.</li><li>
Credentialing experience is strongly preferred.</li><li>
Knowledge of CPT, ICD-10, HCPCS coding preferred. Experience in medical terminology is helpful.</li></ul><p><b>
Working Conditions and Physical Requirements:</b></p><ul><li>
General office environment</li><li>
Occasional travel</li></ul><p><b>
Standards of Behavior:</b></p><ul><li>
Commitment To Service</li><li>
Respect</li><li>
Quality</li><li>
Teamwork</li><li>
Patient Focus</li><li>
Integrity</li><li>
Accountability</li><li>
Caring &amp; Compassion</li><li>
Professionalism</li><li>
Listening &amp; Responding</li><li>
Safety</li><li>
AIDET</li></ul><p><b>
Job Related Competencies:</b></p><ul><li>
Attention to Detail<i>- The ability to process detailed information effectively and consistently.</i></li><li>
Problem Solving- <i>Identifies and analyzes problems weighing the relevance and accuracy of available information. Generates and evaluates alternative solutions and makes effective and timely decisions.</i></li><li>
Communicates Effectively- <i>Developing and delivering multi-mode communication that convey a clear understanding of the unique needs of different audiences.</i></li><li>
Values And Ethics<i>- Serving with integrity and respect in personal and organizational practices. Ensuring decisions and transactions are transparent and fair.</i></li><li>
Time Management- <i>The ability to effectively manage one&rsquo;s time and resources to ensure that work is completed efficiently.</i></li></ul><p><b>
 Commitment to Community:</b></p><p>
Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by:</p><ul><li>
Prioritizing access for all individuals;</li><li>
Offering ongoing training for staff to promote health awareness, preventive measures and early detection for the varied patient population on the Eastern Shore;</li><li>
Actively engaging with patients, families and staff;</li><li>
Fostering a workplace culture in which everyone is treated with dignity.</li></ul><p><b>
Duties/Responsibilities:</b></p><ul><li>
Medical Billing:<ul><li>
Accurately process and post charges, submit claims through Athenahealth for all payers, including Medicaid, Medicare, and commercial insurance.</li><li>
Review and resolve claim denials, rejections, and underpayments promptly.</li><li>
When needed, Post payments, reconcile accounts, and manage patient balances.</li><li>
Maintain compliance with FQHC billing guidelines and payer-specific requirements.</li><li>
Generate and analyze billing reports to identify trends and improve revenue cycle performance.</li></ul></li><li>
Insurance Enrollment:<ul><li>
Complete initial insurance enrollment for providers with insurance plans, Medicaid, Medicare, and other networks.</li><li>
Maintain accurate provider records in credentialing databases and ensure timely updates.</li><li>
Track expirations for insurance contracts.</li><li>
Communicate with providers and payers to resolve enrollment issues efficiently.</li></ul></li><li>
Regular, reliable attendance is a requirement of this job.</li></ul><p><b>
Benefits:</b></p><ul><li>
Tuition and education assistance</li><li>
Certification scholarships available</li><li>
Paid holidays (9)</li><li>
Flexible paid time off and vacation scheduling</li><li>
403(b)</li><li>
403(b) matching</li><li>
Employee assistance program</li><li>
Flexible spending account</li><li>
Health insurance</li><li>
Dental insurance</li><li>
Vision coverage</li><li>
Life insurance</li><li>
Referral program</li><li>
Employee wellness program</li><li>
Discretionary Bonuses</li></ul><p><i>
Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.</i></p></div><p></p>

Biller & Insurance Enrollment Specialist

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

Bristol Bay Native Corporation

<div><p>The Enrollment Specialist is responsible for processing descendant and missed-enrollee enrollment applications that contain sensitive information. Requires high level of customer service, exceptional attention to detail, ability to maintain confidentiality, accuracy and records integrity.</p><p><b>
Qualifications &amp; Experience:</b></p>
<ul><li>
2+ years of experience in records management, genealogy research, or document preservation.</li><li>
Experience with content management systems.</li><li>
Strong attention to detail with a high level of accuracy and ability to maintain confidentiality with sensitive information.</li><li>
Excellent written and verbal communication skills.
</li><li>Ability to work independently, manage tasks and meet deadlines.</li></ul>
<p><b>
Preferred Skills:</b></p>
<ul><li>
Knowledge of Alaska Native family history, ANCSA shareholder records management or tribal enrollment procedures.
</li><li>Familiarity with federal and state records (e.g., BIA, Census, probate, tribal enrollment rolls).</li></ul><p><b>
Essential Duties &amp; Responsibilities:</b></p>
<ul><li>
Participate in an orientation and training session to learn, retain, and provide detailed information about the Enrollment application and verification process and shareholder records functions.</li><li>
Successfully complete training as administrative user of the enrollment module with input and review permission.</li><li>
Provide high levels of customer service and support to current and potential Shareholders.</li><li>
Respond to enrollment eligibility inquiries, both verbally and in writing in accordance to established enrollment application and verification procedures.</li><li>
Accept applications and verification documents for Class C and Class D stock.</li><li>
Serve as a collaborative Team member as a first point of contact regarding the Enrollment Application and Verification process.
</li><li>Ensure scheduled and walk-in applicants are efficiently served with a target of accepting complete application data and verification documents in fifteen minutes or less.</li><li>
Advise applicants and/or their legal representatives of acceptable forms of verification documents to establish eligibility.
</li><li>Ensure self-service, paper, assisted, and web enrollment applications are fully completed and entered in a computer database with accuracy; verify required documents prior to scanning. Follow-up with applicants as necessary to obtain required verification documents with an emphasis on outreach and follow-up with aging in-progress applications.</li><li>
Perform accurate data entry when assisting prospective Shareholders to complete enrollment applications; verify required documents prior to scanning.</li><li>
Ensure supporting documents are returned to applicants after scanning into the enrollment module.</li><li>
Refer sensitive and complicated applications to Supervisor.</li><li>
Batch upload application data when collecting data and documents where internet access is not available.
</li><li>Receive and route personal data updates to shareholder records staff as requested by current Shareholders.</li><li>
Generate and review email and/or phone reports to confirm daily performance targets are met and propose to the Senior Enrollment Lead team any specific solutions for areas requiring intervention, problem solving, or improvement.</li><li>
Number of complete enrollment applications received by Team by location/mode (online, paper, assisted) and each Enrollment team member</li><li>
Location and contact information for enrollment applicants with missing verification documents / incomplete applications for follow-up</li><li>
Number of applications accepted/rejected by Team within 10, 30, 45, 60, and 90 days
</li><li>Number of days to return original application verification documents to applicants
</li><li>May assist with shareholder enrollment and outreach events, with occasional travel.</li></ul>
<p>
BBNC aspires to provide benefits to its shareholders by creating employment opportunities for BBNC&rsquo;s shareholders and their families. Therefore, in accordance with ANCSA and other Federal laws, BBNC grants an employment preference to BBNC shareholders, their spouses and their descendants who meet the qualifications of the position. Specific questions regarding this policy may be directed to the Shareholder Development or Human Resources Departments. For purposes of this section, &ldquo;descendants&rdquo; includes adopted children and foster children in the immediate household of a BBNC shareholder.</p></div>

Temporary Enrollment Specialist

Healthfirst (New York)

<div>The Sr Retention Advocate (SRA) is responsible for educating and providing Healthfirst members support to obtain financial entitlements for which they are eligible, to enable members to maintain the highest level of independence both at home and within their communities. The SRA provides education about cost-saving programs, assists Healthfirst members in applying for programs for which they are eligible, and provides follow up support. They are responsible for a cycle of work that requires managing a case from start to finish. This role manages multiple tasks independently with a fast-paced proactive vs. reactive approach to changing priorities. The SRA frequently communicates with members to provide moderately complex information in person and/or by interacting through electronic documentation tools. The SRA works in a paperless work environment requiring daily hands-on administration of multiple electronic Patient Health Information (PHI) databases and security requirement tools such as encryption. These systems include, but are not limited to, TrucareHTML5, RightFax, VoIP, Virtual Work Platforms (VPN), creating pdf files (Adobe Acrobat), and MS Office 360 software (such as Word, Excel and Outlook), Interaction Client, Jabber, and related systems.<p><b>
Duties &amp; Responsibilities</b>:</p><ul><li>
Contacts member or primary caregiver by phone or letter to arrange a telephonic or in person interview to assess Medicaid/Medicare/Medicare Savings Program eligibility. Ensures all calls and conversations are conducted in accordance with approved Healthfirst expectations</li><li>
Has full and complete access to patient records and reports as well as to personal/financial profiles and documents, requiring utmost integrity and discretion</li><li>
Serves as an advocate and liaison to maximize the member&rsquo;s support network and to obtain needed services</li><li>
Researches designated tools and platforms concerning eligibility, exclusion, and exemption codes</li><li>
Consults with Human Resource Administration (HRA)/Local Department of Social Services (LDSS) Medicaid staff as needed and report to supervisor any need for HRA/LDSS consultation</li><li>
Tracks the Medicaid/Medicare/MSP status for all members on an ongoing basis to assist that all member entitlements are gained</li><li>
Completes designated application(s) in a timely, organized fashion and assists member or primary caregiver in the completion of the application</li><li>
Assists in collecting all required documents for applications</li><li>
Submits documentation to HRA/LDSS within specified timeframe regarding Medicaid coverage for the member</li><li>
Monitors all applications according to HRA/LDSS/Social Security office/Medicare time frames</li><li>
Documents all client calls /outcomes in database system and spreadsheets</li><li>
Responsible for tracking work, maintaining accurate data, and presenting it, and following up promptly as warranted</li><li>
Prepares/submits monthly reports to Management</li><li>
Additional duties as appropriate or as directed</li></ul><p></p><p><b>
Ongoing Knowledge &amp; Support</b></p><ul><li>
Monitors and maintains awareness and understanding of changes in Medicaid/Medicare/HMO laws, and collaborates and shares information with other team members as appropriate</li><li>
Participates in entitlement training/meetings, as directed</li><li>
Engages in mastering and understanding how the work of the department impacts Healthfirst&rsquo;s overall operations and its members</li><li>
Contributes creative solutions and takes ownership of daily assignments to ensure effective communication and systematic completion of routine and special projects</li><li>
Maintains the highest level of integrity, courtesy, and respect while interacting with clients, other team members, and business contacts</li><li>
Assists with the orientation of new hires to educate them on the model, support enrollment growth and can answer routine questions about the program.</li><li>
Handles other duties as assigned, with the occasional need to work weekends and/or additional hours before or after shift schedule and/or from other HF site locations</li><li>
Experiences managing member information or appointments in a shared network environment using paperless database modules
</li></ul><p></p><p><b>Minimum Qualifications:</b></p><ul><li>
High School diploma or GED from an accredited institution</li><li>
Be able to travel throughout the 5 boroughs, Westchester, Orange, Sullivan, Rockland, and Nassau County</li><li>
Well organized, detail oriented, and able to adapt to procedural and other changes</li><li>
Strong data entry skills and a demonstrated ability to maintain monthly spreadsheets for tracking and statistical purposes</li></ul><p></p><p><b>
Preferred Qualifications</b></p><ul><li>
Associate degree from an accredited institution</li><li>
Prior experience with Medicaid /Medicare/Medicare Savings Program</li><li>
Experience in an inbound and outbound call center within a healthcare environment</li><li>
Prior experience working with an adult or elderly population</li><li>
A competent understanding of integrated care</li><li>
Experience in health insurance, a home care environment, acute, sub-acute, long-term care (LTC) setting, or managed-long term care (MLTC)</li><li>
At least five years in a health plan sales role with a proven record of consistently producing maximum results in a compliant manner.</li></ul><p></p><p><b>
Compliance &amp; Regulatory Responsibilities</b>: Noted above</p><p></p><p><b>
License/Certification</b>: N/A</p><p><br>
Hiring Range*:</p><ul><li><p>
Greater New York City Area (NY, NJ, CT residents): $58,900 - $80,070</p></li><li><p>
All Other Locations (within approved locations): $51,000 - $74,880</p></li></ul>
<p>
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.</p>
<p>
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.</p>
<ul><li><i>The hiring range is defined as the lowest and highest salaries that Healthfirst in &ldquo;good faith&rdquo; would pay to a new hire, or for a job promotion, or transfer into this role.</i></li></ul><br>
51000-74880</div>

Field Entitlement Enrollment Specialist

Medsien

<div>
 <strong>
  Enrollment Specialist
  <br/>
  <br/>
 </strong>
 Are you a
 <strong>
  Certified Medical Assistant
 </strong>
 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.
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 Here at
 <strong>
  Medsien
 </strong>
 , 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.
 <br/>
 <br/>
 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
 <strong>
  Enrollment Specialists
 </strong>
 (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.
 <br/>
 <br/>
 As an
 <strong>
  Enrollment Specialist
 </strong>
 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.
 <br/>
 <br/>
 As an Enrollment specialist you'll receive competitive pay including paid training. Fully remote capabilities (Within US only) and better work life balance.
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 <strong>
  Key Responsibilities:
 </strong>
 <br/>
 <br/>
 <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>
 <br/>
 <br/>
 <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>
 <br/>
 <br/>
 <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>
 <br/>
 <br/>
 <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>
 <br/>
 <br/>
 <ul>
  <li>
   Performance Tracking:
  </li>
  <ul>
   <li>
    Monitor and track your enrollment performance, striving to meet or exceed enrollment goals.
    <br/>
   </li>
  </ul>
 </ul>
 <strong>
  Qualifications:
  <br/>
  <br/>
 </strong>
 <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.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  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.
  <br/>
  <br/>
 </strong>
 <strong>
  Training and Development:
  <br/>
  <br/>
 </strong>
 You will receive comprehensive training on CCM/RPM program details, enrollment processes, and communication techniques to ensure you are well-prepared for the role.
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 <strong>
  This is a 1099 role and does not come with benefits
  <br/>
  <br/>
 </strong>
 <strong>
  Monday - Friday
  <br/>
  <br/>
 </strong>
 <strong>
  Our Process
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 Employment at
 <strong>
  Medsien
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Thank you for taking the time to apply for a position at Medsien!
 </strong>
</div>


Remote Enrollment Specialist (Certified Medical Assistant)

Precise Behavioral INC.

<p><b>Precise Behavioral </b>is hiring!</p><p>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.</p><p><b>Precise Behavioral (Precise)</b> 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.</p><p><b>Scope of service:</b> 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).</p><p><b>Schedule</b>: Monday through Friday 8am-5pm</p><p><b>Key Responsibilities:</b></p><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><p><b>Must-Have Expertise:</b></p><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><p><b>Qualifications:</b></p><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><p>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.</p><p>Pay: From $27.00 per hour</p><p>Benefits:</p><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><p>Experience:</p><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><p>Work Location: Remote</p>

Payor Enrollment Specialist – Behavioral Health (Multi-State)

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