Payer Enrollment Support Specialist

3 weeks ago


Louisville, United States Confluent Health Full time
Overview:

Summary: The Credentialing Support Specialist is an administrative role with responsibility for special projects as assigned, ticketing system, insurance commercial revalidations, manage directory & commercial credentialing portals.

 

We Grow Together, We Laugh, We do Meaningful Work that Impacts Lives.

 

 

Our Full-Time Employees Enjoy these Amazing Benefits: 

  • Employee-centric work culture from the top, down
  • Medical, dental, vision, LTD insurances
  • Generous PTO
  • 401(k) Employer Matching
  • Parental Perks
  • And more

 

Responsibilities:

 

30-34 Hours per week / Remote or in office options

 

Job Responsibilities / Functions

 

Maintain Portals

Commercial directory portals for both locations & providers

Availity, Lexis Nexis, Better Doc, Ashlink, UHC, etc.

Ticketing System (Freshworks)

Credentialing Inquiries

Billing inquiries

Authorization inquiries

Mail received at clinic

Location changes

Name changes

Out of network inquiries

Special Projects

Lockbox updates

Clinic Closures

Collect preliminary information for DeNovos, Tuck Ins, Relocations

Monitor revalidation dates for Commercial payers

BCBS, PTPN, Global Health, etc

Works with Credentialing Manager and/or Vice President of Managed Care to assist with projects as needed.

Qualifications:

Job Requirements


Education:  Some college coursework is desired.


Experience   1 or more years’ experience in provider credentialing or related area is required.  

 

 

Skills & Knowledge

  • Must be self-motivated and detail-oriented. Great at follow through.
  • Excellent multi-tasker in a fast paced environment.
  • Excellent interpersonal and communication skills.
  • Excellent organization skills and proven ability to collaborate with different constituencies and manage tasks to ensure deadlines are met and a quality product is produced.
  • AmaZing customer service ethic and high expectations for quality. 
  • Proficient using online software applications as well as the latest versions of Google Apps, Microsoft Word, Excel, and PowerPoint.
  • Experience with OneView is a plus

#CH150



  • Louisville, Kentucky, United States Waystar Full time

    About This RoleThe Enrollment Support Specialist is a key member of our team, responsible for ensuring a seamless enrollment experience for our clients. This role requires a high level of expertise in the entire enrollment process, from initial setup to ongoing support.Key ResponsibilitiesAcquire in-depth knowledge of the entire enrollment process, including...


  • Louisville, United States Confluent Health Full time

    Overview: Summary: The Credentialing Support Specialist is an administrative role with responsibility for special projects as assigned, ticketing system, insurance commercial revalidations, manage directory & commercial credentialing portals. We Grow Together, We Laugh, We do Meaningful Work that Impacts Lives. Our Full-Time Employees Enjoy these Amazing...


  • Louisville, Kentucky, United States Waystar Full time

    About This RoleThe Enrollment Support Coordinator is a key member of our team, responsible for ensuring a seamless enrollment experience for our clients. This role requires a high level of expertise in the entire enrollment process, from initial setup to ongoing support.Key ResponsibilitiesAcquire in-depth knowledge of the entire enrollment process,...


  • Louisville, Kentucky, United States Virtual Employee Services (F) Full time

    Job OverviewWe are seeking Patient Enrollment Support Specialists.This is a Hybrid-Remote role with a compensation rate of $17.00 per hour.The Patient Enrollment Support Specialist plays a crucial role in facilitating the annual enrollment process for patients seeking coverage for their prescribed medications. This position involves both inbound and outbound...


  • Louisville, Kentucky, United States Waystar Full time

    POSITION OVERVIEWThe Enrollment Services Coordinator plays a crucial role in assisting clients throughout the comprehensive process of completing enrollments to facilitate electronic EDI transactions.KEY RESPONSIBILITIESDevelop a thorough understanding of the complete enrollment workflow.Assist in facilitating enrollments for both new and existing...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    About the RoleBrightSpring Health Services is seeking a highly skilled Provider Enrollment Manager to join our team. As a key member of our Legal Department, you will be responsible for compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as re-validations and re-credentialing applications.Key...


  • Louisville, Kentucky, United States Trilogy Health Services Full time

    About the RoleTrilogy Health Services is seeking a dedicated Payer Services Credentialing Coordinator to join our Home Office Team. As a key member of our team, you will play a crucial role in ensuring the smooth operation of our payer relations and credentialing processes.Key ResponsibilitiesProcess initial credentialing and re-credentialing applications in...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    Provider Enrollment Specialist PRNJob OverviewThe Provider Enrollment Specialist plays a crucial role in supporting the organization's Legal Department by managing the enrollment and tracking of applications for Medicare, Medicaid, and private payers. This position also involves collaboration with the Licensing Department to facilitate the completion of...


  • Louisville, Kentucky, United States BrightSpring Health Services Full time

    About the RoleBrightSpring Health Services is seeking a highly skilled Provider Enrollment Manager to join our team. As a key member of our Legal Department, you will play a critical role in ensuring the smooth operation of our provider enrollment process.Key ResponsibilitiesCompile, submit, and track Medicare, Medicaid, and private payer provider...


  • Louisville, United States EBlu Solutions LLC Full time

    Job DescriptionJob DescriptionDescription:POSITION DESCRIPTION: The Payer Research Specialist is responsible for investigating prior authorization and medical policy documents and putting them into the eBlu portal. They will manage the authorization process following client contract requirements and ensure medical policies are current and updated...


  • Louisville, Kentucky, United States Southern Home Care Services, Inc. Full time

    Job SummaryAt Southern Home Care Services, Inc., we are seeking a highly skilled and detail-oriented Provider Enrollment Manager to join our team. As a key member of our healthcare team, you will be responsible for assisting our legal department in compiling, submitting, and tracking Medicare, Medicaid, and private payer provider applications, as well as...


  • Louisville, United States RemX Full time $17

    Job DescriptionJob DescriptionRemX is seeking Re-Enrollment Associates to support the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support.Titles:  Re-Enrollment Advocate (REA)Employment Type: Seasonal Contract with chance to convert to permLocation: Onsite | ...


  • Louisville, Kentucky, United States Aston Carter Full time

    Position Title: Enrollment Outreach SpecialistRole Overview: As an Enrollment Outreach Specialist, your primary responsibility will be to facilitate the enrollment process for individuals seeking Qualified Health Plans (QHP), insurance affordability programs, and various public assistance initiatives. This position requires comprehensive training and...


  • Louisville, Kentucky, United States Nesco Resource Full time

    The Patient Enrollment Specialist plays a crucial role in facilitating the annual enrollment process for patients seeking coverage for their prescribed medications. This position involves providing support through both inbound and outbound calls, alongside various administrative tasks. It is a seasonal role within a call center environment, offering flexible...

  • Patient Advocate

    6 days ago


    Louisville, Kentucky, United States Knipper HEALTH Full time

    Job SummaryWe are seeking a highly skilled Patient Advocate to join our team at Knipper HEALTH. As a Patient Advocate, you will play a critical role in supporting patients in accessing coverage for their prescribed medications.Key ResponsibilitiesReview and process patients' enrollment forms to the Patient Assistance Program (PAP)Assist patients on the phone...


  • Louisville, Kentucky, United States Virtual Employee Services (F) Full time

    Job OverviewPosition SummaryThe Pharmaceutical Patient Support Specialist plays a crucial role in facilitating the enrollment process and assisting patients in obtaining coverage for their prescribed medications. This position involves both inbound and outbound communication as well as various administrative tasks.Key Responsibilities:Evaluate and process...


  • Louisville, Kentucky, United States Virtual Employee Services (F) Full time

    Position Overview Join Our Team as a Patient Support Specialist ROLE SUMMARYEvaluate and process patient enrollment applications for the Patient Assistance Program (PAP).Provide assistance to patients via phone regarding PAP enrollment by confirming pre-screening and eligibility criteria.Inform patients and healthcare professionals about application...


  • Louisville, United States EBlu Solutions LLC Full time

    Job DescriptionJob DescriptionDescription:In this dynamic role as a Provider Relations Support Specialist, you will have the opportunity to support patient access to care through the support of healthcare providers, pharmaceutical company representatives, and healthcare service companies for specialty prescription drugs who can encounter reimbursement and...


  • Louisville, United States Virtual Employee Services (F) Full time

    Job DescriptionJob DescriptionWE ARE LOOKING FOR ENROLLMENT ADVOCATES!This is a Hybrid-Remote position!!!!! Pay-rate: $17.00 / hour.The Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions. This role is...


  • Louisville, United States Virtual Employee Services (F) Full time $17

    Job DescriptionJob DescriptionWE ARE LOOKING FOR ENROLLMENT ADVOCATES!This is a Hybrid-Remote position!!!!! Pay-rate: $17.00 / hour.The Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support, as well as administrative functions. This role is...