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Enrollment Specialist
4 months ago
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Overview: The Enrollment Specialist I is responsible for answering incoming enrollment support calls, logging cases, handling administrative tasks such as email campaigns to clients and other reporting and administrative support to the Enrollment teams. Performs payer follow-up with outreach to payers to verify status of pending enrollments.
Duties and Responsibilities:
- Serves as a highly poised, professional, and courteous contact point for persons communicating with the Provider Network enrollment department;
- Answers incoming calls regarding trouble tickets, status checks, processing of the enrollment forms and general enrollment questions creating cases for the Enrollment Support team to work;
- Where directed, executes email campaigns for clients regarding their enrollment status, directives, etc.;
- Processes payer approvals and updates provider accounts accordingly;
- Performs payer follow-up and outreach to payers to verify status of pending enrollments;
- Interprets, communicates, and directs information appropriately;
- Provides general support to management and department personnel;
- Assists with special projects as needed;
- Other duties as requested and/or determined;
- Maintain compliance with Inovalon's policies, procedures and mission statement;
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.
Job Requirements:
- Minimum of 1 year of related experience;
- Proficient in Microsoft Office suite including Outlook, Word, Excel, and PowerPoint;
- Excellent verbal and written communication skills;
- Ability to work in a fast-paced environment;
- Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail;
- Ability to work well with all levels of internal management and staff, outside clients and vendors, and be a welcoming, forward-thinking, and self-motivated individual;
- Strong computer skills;
- Prior Call Center Experience;
- Medical EDI Experience;
- Payer Experience in the healthcare industry;
- Knowledge of Insurance Payer Forms;
- Excellent customer service skills;
- Excellent verbal and written communications skills;
- Excellent time management skills; and
- Proven ability to work effectively under pressure & meet deadlines.
Education:
- High School diploma or G.E.D. required (Associates Degree preferred).
Physical Demands and Work Environment:
- Sedentary work (i.e., sitting for long periods of time);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
- Frequently or constantly to lift, carry push, pull, or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Travel for this position will include less than 5% locally usually for training purposes.
The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.
Base Compensation Range$15.62—$23.31 USDStudies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. Inovalon is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
To review the legal requirements, including all labor law posters, please visit this link
Inovalon provides equal employment opportunities (EEO) to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
