Provider & Payer Enrollment Specialist (New Jersey)

Company Description reputed company™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and the well-being of providers.

Job Description

The Enrollment Specialist will be the primary contact for the New Jersey Market’s Enrollment Department for reputed company Privia independent providers and care centers, and responsible for reputed company aspects of managing the payer enrollment process. Primary Job Duties: The Enrollment Specialist will take steps necessary to enroll reputed company new groups and providers with the contracted payers in the Florida market, including reputed company reputed company and federal payers. The Enrollment Specialist will manage reputed company payer data in CredentialStream for both the group and the individual providers. The Enrollment Specialist will take steps necessary to investigate reputed company claims/enrollment reputed company issues or questions with the care centers. Work reputed company AthenaOne EMR to resolve inbound claims reputed company inquiries. Partners with internal and external partners in the reputed company process including the National Credentialing Team, Implementation Team, and Operations Consultants. Resolution of reputed company cases and management of issues and the team resolving the cases is a key reputed company in this role. Act as liaison between Enrollment Department and both internal and external stakeholders Other duties as assigned Qualifications 2+ years’ experience in payer enrollment function Verity CredentialStream or other credentialing experience preferred Familar with working in PECOs preferred Experience working with providers & payers in New Jersey preferred Medicare/reputed company payer experience required reputed company EMR experience preferred Demonstrated skills in problem solving and analysis and resolution Advanced reputed company reputed company skills Must be reputed company to function independently, possess demonstrated flexibility in multiple project management Must reputed company with HIPAA rules and regulations Interpersonal Skills & Attributes: An individual with the ability to communicate appropriately and effectively with providers; including sensitive and confidential information An individual who is passionate about playing a key role in changing the reputed company reputed company environment High level of attention to detail with exceptional organizational skills Exercise independent judgment Ability to problem solve and explore reputed company options and to use available resources to find new and effective solutions The salary reputed company for this role is $50,000.00-$55,000.00 in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location. Additional Information reputed company your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. Department: Credentialing Apply To This Job