Payor Enrollment Specialist
Budget / Salary$17–20
TypeFull-time job
LocationUnited States
Posted3 hours ago
Overview
The Payor Enrollment Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider's office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled. Also, responsible for advising the provider's office concerning best practices and procedures pertaining to enrollment.
Duties & Responsibilities
Communicate & advise designated contact person of the paperwork necessary to begin the application process for new providers, including any necessary research to gather all details to appropriately enroll provider.
Communicate & advise the provider or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations.
Maintain contact with designated contact person to obtain application signatures, and collect all required documents to include with the completed applications.
Key all provider demographics & enrollment data into software system.
Scan all related enrollment documents and applications into software system.
Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued.
Prepare & distribute Payor Affiliation Reports and Status Notesto designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers.
Ability to interact positively in a team environment, demonstrating superior teamwork skills.
Any other assigned responsibilities as requested by Supervisor, not specifically noted above.
Prepare and submit monthly invoices in accounting software showing new work and completed work.
Skills Required
Superior Organizational Skills
Good Communication skills
Positive attitude
Attention to Detail
Good critical thinking and problem-solving skills
Ability to Prioritize Assigned Projects
Ability to Exercise Sound Judgment
Ability to Make Independent Decisions in Managing Assigned Projects
Ability to Manage Time without Immediate Supervision
Ability to Maintain Self-Motivation
Qualifications Required:
Every organization has a culture, whether they mean to or not, so why not be intentional about it?
Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.
1-2 years of college or applicable work experience preferred
Healthcare experience.
Experience with Microsoft Office, i.e., Excel and Word, and Adobe / FoxIt
Min
USD $17.00/Hr.Max
USD $20.00/Hr.Originally posted on Himalayas
The Payor Enrollment Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider's office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled. Also, responsible for advising the provider's office concerning best practices and procedures pertaining to enrollment.
Duties & Responsibilities
Communicate & advise designated contact person of the paperwork necessary to begin the application process for new providers, including any necessary research to gather all details to appropriately enroll provider.
Communicate & advise the provider or designated contact person of the sequential steps needed to begin the enrollment process, through completion and set timeline expectations.
Maintain contact with designated contact person to obtain application signatures, and collect all required documents to include with the completed applications.
Key all provider demographics & enrollment data into software system.
Scan all related enrollment documents and applications into software system.
Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued.
Prepare & distribute Payor Affiliation Reports and Status Notesto designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers.
Ability to interact positively in a team environment, demonstrating superior teamwork skills.
Any other assigned responsibilities as requested by Supervisor, not specifically noted above.
Prepare and submit monthly invoices in accounting software showing new work and completed work.
Skills Required
Superior Organizational Skills
Good Communication skills
Positive attitude
Attention to Detail
Good critical thinking and problem-solving skills
Ability to Prioritize Assigned Projects
Ability to Exercise Sound Judgment
Ability to Make Independent Decisions in Managing Assigned Projects
Ability to Manage Time without Immediate Supervision
Ability to Maintain Self-Motivation
Qualifications Required:
Every organization has a culture, whether they mean to or not, so why not be intentional about it?
Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.
1-2 years of college or applicable work experience preferred
Healthcare experience.
Experience with Microsoft Office, i.e., Excel and Word, and Adobe / FoxIt
Min
USD $17.00/Hr.Max
USD $20.00/Hr.Originally posted on Himalayas
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