[Hiring] Managed Care Enrollment Specialist I @Brightli

Role Description

Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you have exceptional organizational skills, strong communication abilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care Enrollment Specialist I!

As a Managed Care Enrollment Specialist I, you'll have the opportunity to work remotely and make a real difference in the lives of patients and providers. You'll be responsible for enrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care. We're looking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency.

If you're a team player with excellent communication skills and a strong work ethic, we encourage you to apply!

Qualifications

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

Requirements

• Excellent customer service, time management, and communication skills (oral and written).
• Excellent organization skills and attention to detail.
• Analytical skills and the ability to research industry topics and policies, translating information into actionable items.
• Ability to multitask on various projects while meeting different deadlines.

Benefits

• A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and more.
• 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits.
• 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost.
• Grow in your career with great opportunities for upward mobility and added income.
• Learn and develop skills with our robust on-the-job training.
• An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement.
• Enjoy the flexibility and comfort of working from home.

Key Responsibilities

• Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
• Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.
• Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
• Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
• Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.
• Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.

Physical Requirements

• Remote work environment, with minimal physical demands.