Data Provider Enrollment Specialist
1 month ago
MUST:
- Bachelors degree
- MUST have experience with SQL reports
- Experience or knowledge of a claims clearing house
- Ability to manage 3 people
- Experience managing tables, authorized to add payors to the systems, manage the backend part of the system
- Understanding of healthcare Billing applications
- Experience adding new providers into tables within the software
- In depth knowledge of EDI standards for healthcare:
- Hippa
- Aca
- X12
- ANSI standards
- 837 and 835 reimbursement
- 270 and 271 claims standards
- Technical ability related to payor enrollment, Knowledge of healthcare reimbursement, Payor policies and regulatory requirements
- Knows how claims and payments move electronically between parties
Plus:
- Has worked with software such as: Zoll or Tritech
- Has worked with the billing software called centricity EDI
DAY TO DAY:
Our fast growing healthcare client in Phoenix, AZ is seeking a Data Provider Enrollment Specialist to join their team as a full-time employee. The Specialist sets up, maintains, and supports the EDI processes to include business analysis, configuration, coding, peer and quality assurance testing, and final documentation. This person will also apply professional experience, including analysis, process design, modification, configuration, data mapping and maintenance of application programs, integrated systems, and software solutions.
-
Data Provider Enrollment Specialist
2 months ago
Phoenix, United States Alpine Solutions Group Full timeMUST:Bachelors degree MUST have experience with SQL reportsExperience or knowledge of a claims clearing houseAbility to manage 3 peopleExperience managing tables, authorized to add payors to the systems, manage the backend part of the systemUnderstanding of healthcare Billing applicationsExperience adding new providers into tables within the software In...
-
Provider Enrollment Specialist
1 week ago
Phoenix, Arizona, United States Alpine Solutions Group Full timeEssential Qualifications:Bachelor's degree requiredProven experience with SQL reportingFamiliarity with claims clearinghouse operationsCapability to supervise a team of threeExperience in managing databases, including authorization to add payors to systems and overseeing backend operationsSolid understanding of healthcare billing applicationsExperience in...
-
Provider Enrollment Specialist
3 weeks ago
Phoenix, United States American Vision Partners Full timeCompany Intro: At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...
-
Provider Enrollment Specialist
2 days ago
Phoenix, Arizona, United States American Vision Partners Full timeAbout American Vision PartnersAt American Vision Partners, we are a leading provider of eye care services, operating over 100 eye care centers across the United States. Our mission is to provide the highest quality patient care possible, while also pioneering research and technology in the field of ophthalmology.Job SummaryWe are seeking a highly skilled and...
-
Provider Enrollment Analyst
1 week ago
Phoenix, Arizona, United States Alpine Solutions Group Full timeEssential Qualifications:Bachelor's degree requiredProven experience with SQL reportingFamiliarity with claims clearinghouse operationsCapability to supervise a team of threeExperience in managing databases, including adding payors to systems and overseeing backend processesComprehensive understanding of healthcare billing applicationsExperience in...
-
Provider Enrollment Analyst
2 weeks ago
Phoenix, Arizona, United States Alpine Solutions Group Full timeKey Qualifications:Bachelor's degree requiredProven experience with SQL reportingFamiliarity with claims clearinghousesExperience in managing a team of threeProficient in managing databases, with authority to add payors to systems and oversee backend operationsSolid understanding of healthcare billing applicationsExperience in adding new providers to...
-
Provider Enrollment Analyst
2 weeks ago
Phoenix, Arizona, United States Alpine Solutions Group Full timeEssential Qualifications:Bachelor's degree in a relevant fieldProven experience with SQL reportingFamiliarity with claims clearinghouse operationsCapability to oversee a team of three individualsExperience in managing databases, with authorization to add payors to systems and oversee backend operationsSolid understanding of healthcare billing...
-
Provider Enrollment Specialist
4 days ago
Phoenix, Arizona, United States TTF Search and Staffing Full timeJob OverviewTTF Search and Staffing is seeking a skilled Provider Enrollment Specialist to join our team. As a key member of our organization, you will play a crucial role in managing incoming requests for web portal access.Key ResponsibilitiesManage and process incoming requests for web portal accessEnsure timely and accurate processing of...
-
Provider Enrollment Analyst
2 weeks ago
Phoenix, Arizona, United States Alpine Solutions Group Full timeEssential Qualifications:Bachelor's degree requiredProven experience with SQL reportingFamiliarity with claims clearinghousesAbility to supervise a team of threeExperience in managing databases, including authorization to add payors and oversee backend operationsComprehensive understanding of healthcare billing applicationsExperience in integrating new...
-
Enrollment Specialist
6 days ago
Phoenix, United States Compunnel Inc. Full timePosition Details:Job Title: Medical Data Entry Specialist / Enrollment SpecialistDuration: Long-Term ContractLocation: Phoenix, AZ 85029Pay Rate : $18.85/HourJob Responsibilities:Resolve eligibility exceptions, including enrollment file errors, ID card generation errors, PCP assignments, and 834 enrollment files within required State/Regulatory...
-
Enrollment Specialist
2 weeks ago
Phoenix, United States Compunnel Inc. Full timePosition Details:Job Title: Medical Data Entry Specialist / Enrollment SpecialistDuration: Long-Term ContractLocation: Phoenix, AZ 85029Pay Rate : $18.85/HourJob Responsibilities:Resolve eligibility exceptions, including enrollment file errors, ID card generation errors, PCP assignments, and 834 enrollment files within required State/Regulatory...
-
Enrollment Coordinator, Remote AZ
4 weeks ago
Phoenix, United States NTT DATA Full timeLocation: Remote-AZ (Must be located in the state of Arizona) Monday-Friday 8-hour shifts (Flexible) Pay Rate: 27.25 per hour. Start Date: 8/26/2024 This is a CONTRACT Role only: Not a Direct Hire.NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We...
-
Enrollment Coordinator, Remote AZ
4 weeks ago
Phoenix, United States NTT DATA Full timeLocation: Remote-AZ (Must be located in the state of Arizona) Monday-Friday 8-hour shifts (Flexible) Pay Rate: 27.25 per hour. Start Date: 8/26/2024 This is a CONTRACT Role only: Not a Direct Hire.NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate...
-
Enrollment Specialist
2 weeks ago
Phoenix, United States Russell Tobin Full timeRussell Tobin's client, a leading health insurance company is hiring an Enrollment Record Specialist at Phoenix, AZ (Remote) Apply Now! Employment Type: Contract Location: Remote (local in AZ only) Pay range: $16/hr - $18/hr Job Description:Responsible for establishing and maintaining group account records, including demographic data, rates, benefits, and...
-
Enrollment Specialist
2 weeks ago
Phoenix, United States Russell Tobin Full timeRussell Tobin's client, a leading health insurance company is hiring an Enrollment Record Specialist at Phoenix, AZ (Remote) Apply Now! Employment Type: Contract Location: Remote (local in AZ only) Pay range: $16/hr - $18/hr Job Description:Responsible for establishing and maintaining group account records, including demographic data, rates, benefits, and...
-
Enrollment Specialist
1 month ago
Phoenix, United States LHH Full timeThe Provider Enrollment Manager will play a pivotal role in managing the integration and ongoing relationship with a new claims clearinghouse vendor. This individual will be at the forefront of ensuring seamless electronic data interchange (EDI) processes, maximizing the efficiency and accuracy of claims data from the billing system to the vendor application...
-
Enrollment Specialist
1 month ago
Phoenix, United States LHH Full timeThe Provider Enrollment Manager will play a pivotal role in managing the integration and ongoing relationship with a new claims clearinghouse vendor. This individual will be at the forefront of ensuring seamless electronic data interchange (EDI) processes, maximizing the efficiency and accuracy of claims data from the billing system to the vendor application...
-
Payor Enrollment Specialist
2 months ago
Phoenix, United States HonorHealth Full timeOverview: Experience in Health PlanCredentialing General Idea of Enrollment Experience in Healthcare Fully- On-Site Hours of Operation: 8am-4:30pm- Monday-Friday Looking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients. Youll have opportunities to make a...
-
Enrollment Record Specialist I
7 days ago
Phoenix, United States Russell Tobin & Associates Full timeWhat are we looking for in our Enrollment Record Specialist I? Russell Tobin's client, a leading health insurance company is hiring an Enrollment Record Specialist at Phoenix, AZ (Remote) Apply Now! Employment Type: Contract/Remote Location: Phoenix, AZ (Remote local candidates) Pay range: $16/hr - $18/hr Job Description:...
-
Medicare Enrollment Specialist
2 weeks ago
Phoenix, Arizona, United States US Tech Solutions, Inc. Full timeContract Duration: 04 monthsPosition Overview:The Enrollment Specialists are essential in assisting our new member clients to assess eligibility and execute various enrollment procedures. They engage with both individual plan members and employer groups, necessitating a strong emphasis on precise and prompt customer support to guarantee client enrollment and...