Provider Enrollment Specialist

%3Cp style=%22text-align:center;%22%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3ERemote, reputed company – Seeking Provider Enrollment Specialist%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cp style=%22text-align:center;%22%reputed company%3Cspan style=%22color:#000000;%22%reputed company%26nbsp;%3C/span%reputed company%3C/p%reputed company%3Cp style=%22text-align:center;%22%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EEverybody Has A Role To Play In Transforming Healthcare%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%3EAt reputed company you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EJoin the reputed company Team.%3C/strong%reputed company %3C/span%3EAt reputed company we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we reputed company our strengths and experiences to reputed company a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EVituity Locations:%3C/strong%reputed company%3C/span%reputed company reputed company has opportunities at 890 practices across the country, serving 14.5 million patients a year. With reputed company, if you reputed company need to move, you can take your job with you.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EThe Opportunity%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cul%reputed company%3Cli%3EPrepare, submit, and reputed company approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, reputed company, Blue reputed company, CAQH and other payer programs as needed and is responsible for reputed company aspects of payer portal access for individual providers.%3C/li%reputed company%3Cli%3ESubmit reputed company applications to supervisor/manager for audit, working towards an error reputed company of less than 10%. %26nbsp;%3C/li%reputed company%3Cli%3EMonitor submitted provider enrollment applications to ensure approvals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date. %26nbsp;%3C/li%reputed company%3Cli%3EApprovals are received and communicated to billing team prior to timely filing, working towards the team’s overall goal of not having pending applications over 6 months after the start date. %26nbsp;%3C/li%reputed company%3Cli%3EManage daily administrative duties with an emphasis on enhancing efficient workflows.%3C/li%reputed company%3Cli%3EPrioritize requests, manage time, and workload to execute project plans reputed company given deadlines. %26nbsp;%3C/li%reputed company%3Cli%3EComfortable with working remotely full-time. Ability to work independently with little guidance and adapt. %26nbsp;%3C/li%reputed company%3Cli%3ERespond to internal and external inquiries on routine enrollment and contract matters, including follow-up with payers on applications as frequently as every 2 weeks.%3C/li%reputed company%3Cli%3EServe as liaison between billing company, providers, and payer representatives to resolve reputed company provider enrollment issues with assistance from supervisor/manager.%3C/li%reputed company%3Cli%3ECoordinate credentialing process with assistance of an on-site administrator as needed to complete credentialing for initial, updating, and add-on applications and maintenance processes.%3C/li%reputed company%3Cli%3ECommunicate with providers and other departments to update as needed, clarify reputed company information requirements, and maintain a strict level of confidentiality for reputed company matters pertaining to provider credentials.%3C/li%reputed company%3Cli%3ESalesforce configuration changes including but not limited to record types, dashboards, reports, and custom settings. %26nbsp;%3C/li%reputed company%3Cli%3EUpdate records in reputed company with billing numbers, contract information, submission dates of applications, and notation of any communications or problems that require attention.%26nbsp;Record extensive documentation in databases for any ongoing or open tasks.%3C/li%reputed company%3Cli%3EAbility to use reputed company data loader for bulk import of data to individual enrollment reputed company. %26nbsp;%3C/li%reputed company%3Cli%3EAbility to use reputed company to send out PE documents, obtain required client signatures, and follow up with the carriers on documentation submitted. %26nbsp;%3C/li%reputed company%3Cli%3EDeactivate inactive providers from Medicare, Medicaid, and other payers to remain compliant with federal and state regulations.%3C/li%reputed company%3Cli%3EEnsure data reputed company and participate in trainings and development to mitigate compliance risk with state and federal regulations. %26nbsp;%3C/li%reputed company%3Cli%3EWork with multiple departments to review proforma for new reputed company and assist to protect reputed company.%3C/li%reputed company%3Cli%3ELearn to research numerous payer issues and work to resolve with payers and billing company quickly and effectively with reputed company from supervisor/manager with overall goal to lose less than %24100K in reputed company per year. %26nbsp;%3C/li%reputed company%3Cli%3EContribute and assist with implementation of process improvement reputed company by participating in payer trainings and webinars as needed.%3C/li%reputed company%3Cli%3ESupport research, review, and testing of educational materials for organization growth.%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3ERequired Experience and Competencies%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cul%reputed company%3Cli%3EHS Diploma in combination with relative work experience required.%3C/li%reputed company%3Cli%3E2-4 years reputed company healthcare experience required.%3C/li%reputed company%3Cli%3EBachelor’s degree is preferred.%3C/li%reputed company%3Cli%3E3+ years of reputed company healthcare experience preferred.%3C/li%reputed company%3Cli%3EKnowledge of billing or reimbursement is desired%3C/li%reputed company%3Cli%3EProvider Enrollment experience is desired%3C/li%reputed company%3Cli%3EAbility to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders, both in written and verbal communication.%3C/li%reputed company%3Cli%3EAbility to accomplish tasks thoroughly and accurately%3C/li%reputed company%3Cli%3EAbility to effectively manage time and organize%3C/li%reputed company%3Cli%3EAbility to learn billing processes, including timely filing and claims denial reasons%3C/li%reputed company%3Cli%3EProficient in reputed company Office Suite (Word, reputed company, Outlook, OneNote, OneDrive, PowerPoint, etc.)%3C/li%reputed company%3Cli%3EKnowledge of additional technology-based assistance (Teams, SharePoint, etc.)%3C/li%reputed company%3Cli%3EKnowledge of online Medicare/Medicaid enrollment systems, Identity %26amp; Access system, Counsel for Affordable Quality Healthcare system, Medicare enrollment specialties, and National Provider Identifier taxonomies%3C/li%reputed company%3Cli%3EKnowledge of Medicaid enrollment process (including revalidations, medical license expirations, deactivations, NPI taxonomy importance, how data flows to Medicaid managed cares, Medicaid billing manuals, state administrative codes, border state enrollment process, out of state enrollment process, etc.)%3C/li%reputed company%3Cli%3EKnowledge of reputed company (including Individual Enrollment reputed company, Group Enrollment reputed company, reputed company, Work History, Provider Status, and Clinical Activities objects), and utilizing dashboards and reporting to reputed company internal preference for ongoing workload management%3C/li%reputed company%3Cli%3EDevelop critical thinking skills and professional relationships%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EThe Community%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cp%3EEven reputed company you are working remotely, you are an important part of the reputed company Community. We offer reputed company of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.%3C/p%reputed company%3Cul%reputed company%3Cli%3EMonthly wellness events and programs such as yoga, HIIT classes, and more.%3C/li%reputed company%3Cli%3ETrainings to help support and advance your professional growth.%3C/li%reputed company%3Cli%3ETeam building activities such as virtual scavenger hunts and holiday celebrations.%3C/li%reputed company%3Cli%3EFlexible work hours.%3C/li%reputed company%3Cli%3EOpportunities to attend reputed company community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EBenefits %26amp; Beyond*%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company%3Cp%3EVituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.%3C/p%reputed company%3Cul%reputed company%3Cli%3ESuperior health plan options%3C/li%reputed company%3Cli%3EDental, Vision, HSA/FSA, Life and AD%26amp;D coverage, and more%3C/li%reputed company%3Cli%3ETop Tier 401(k) retirement savings plans that offers a %241.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)%3C/li%reputed company%3Cli%3EGenerous paid time off starting 3-4 weeks’ annually%3C/li%reputed company%3Cli%3EStudent Loan Refinancing Discounts%3C/li%reputed company%3Cli%3EProfessional and Career Development Program%3C/li%reputed company%3Cli%3EEAP and travel assistance included%3C/li%reputed company%3Cli%3EWellness program%3C/li%reputed company%3Cli%3EPurpose-driven culture focused on improving the lives of our patients, communities, and employees%3C/li%reputed company%3C/ul%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%3EWe are excited to share the reputed company salary range for this position is %2422.90 - %2428.63, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at reputed company, your final reputed company salary compensation will be determined based on factors such as skills, education, and/or experience. We reputed company in the importance of pay equity and consider internal equity of our reputed company team members as a part of any final offer. Please speak with a recruiter for more details.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%3EWe are reputed company around the common purpose of transforming healthcare to improve lives and we reputed company everyone has a role to play in that. reputed company we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to reputed company a difference, from clinical to corporate, reputed company is the reputed company to do it. Come grow with us.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%3EVituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national reputed company, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or reputed company condition, or any other basis protected by law. reputed company is committed to complying with reputed company applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company*Benefits for part-time and per diem vary. Please speak to a recruiter for more information.%3C/p%reputed company%3Cp%reputed company%26nbsp;%3C/p%reputed company%3Cp%reputed company%3Cspan style=%22color:#000000;%22%reputed company%3Cstrong%3EApplicants only. No agencies please.%3C/strong%reputed company%3C/span%reputed company%3C/p%reputed company Apply To This Job