Payer Enrollment Support Specialist
3 months ago
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
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
-
Medical Enrollment Support Specialist
3 hours ago
Louisville, Kentucky, United States Virtual Employee Services (F) Full timeAt Virtual Employee Services, we're seeking a Medical Enrollment Support Specialist to join our team in Louisville, KY.About the RoleThis is a full-time opportunity that requires strong communication and organizational skills. As a Medical Enrollment Support Specialist, you will be responsible for supporting patients in accessing coverage for their...
-
Patient Enrollment Specialist
5 hours ago
Louisville, Kentucky, United States NESCO Inc Full timeAbout the Job">We are looking for a skilled Patient Enrollment Specialist to join our team. The ideal candidate will have excellent communication skills, be able to work independently, and possess a strong attention to detail.Job DescriptionEnrollment Process: Review and process patients' enrollment forms to the Patient Assistance Program (PAP).Phone...
-
Enrollment Representative
1 month ago
Louisville, United States Knipper HEALTH Full timeThe Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support and administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work are onsite in our call center. Work hours range from 8 a.m. to 5...
-
Enrollment Representative
1 month ago
louisville, United States Knipper Health Full timeThe Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support and administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work are onsite in our call center. Work hours range from 8 a.m. to 5...
-
Enrollment Representative
2 months ago
Louisville, United States Knipper Health Full timeThe Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support and administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work are onsite in our call center. Work hours range from 8 a.m. to 5...
-
Enrollment Representative
2 months ago
Louisville, United States Knipper Health Full timeThe Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support and administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work are onsite in our call center. Work hours range from 8 a.m. to 5...
-
Enrollment Representative
3 weeks ago
Louisville, KY, United States Knipper Health Full timeThe Re-Enrollment Advocate supports the annual enrollment process for patients accessing coverage for their prescribed medications through inbound and outbound telephone support and administrative functions. This role is a seasonal call center position. Schedules are flexible. Training and work are onsite in our call center. Work hours range from 8 a.m. to 5...
-
Healthcare Credentialing Specialist
2 weeks ago
Louisville, United States Dean Dorton Full timeDescription Dean Dorton Healthcare Solutions, one of Kentucky's premier medical billing and credentialing companies, is seeking a detail oriented and results driven Healthcare Credentialing Specialist to join our Healthcare Consulting team. In this role, you will perform critical functions for Dean Dorton Healthcare Solutions clients, which includes...
-
Customer Experience Specialist
3 months ago
Louisville, United States Atria Support Center Full timeOverview: We create communities where employees thrive in their work, helping our residents thrive in their homes. We strive to enhance the lives and exceed the expectations of those we serve every day. To do this, we cultivate the diverse talents of our team members in order to achieve something together that they could not do alone. Atria Senior Livings...
-
Vice President of Enrollment Management
10 hours ago
Louisville, United States Galen College of Nursing Full timeDescription Introduction Are you passionate about delivering superior work outcomes? At Galen College of Nursing, we are committed to a single purpose: offering excellence in nursing education. Our staff and administration live out our vision! We change the life of one to care for the lives of many. Jump-start your career as a Vice President of Enrollment...
-
Pharmacist Pharmacist
3 months ago
Louisville, United States HealthCare Support Full timePharmacistHealthCare Support is actively seeking a Pharmacist for a 13-week contract located in LOUISVILLE, Kentucky.Benefits of this Pharmacistwith HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Licensure and certification reimbursements...
-
Precertification Specialist- ENT
4 weeks ago
Louisville, United States UofL Health Full timeOverview: We are hiring at UofL Physicians for a Precertification Specialist- ENT Shift: 1st Shift Location:9931 Forest Green Blvd About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians academic and community physicians...
-
Precertification Specialist- ENT
4 weeks ago
Louisville, United States UofL Health Full timeOverview: We are hiring at UofL Physicians for a Precertification Specialist- ENT Shift: 1st Shift Location:9931 Forest Green Blvd About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians academic and community physicians...
-
AR Specialist
4 weeks ago
Louisville, Kentucky, United States LHC Group Full timeJob Summary:We are hiring an Accounts Receivable Specialist to join our HCBS Division in Louisville, KY. As an AR Specialist, you will be responsible for conducting thorough research of claim status, identifying issues, and taking corrective measures to obtain payment and ensure accuracy of future claim submissions.About the Role:Conduct research of claim...
-
Pharmacist Pharmacist
2 months ago
Louisville, United States HealthCare Support Full timePharmacist HealthCare Support is actively seeking a Pharmacist for a 13-week contract located in LOUISVILLE, Kentucky. Benefits of this Pharmacistwith HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Licensure and certification reimbursements...
-
Louisville, United States Kentucky Community and Technical Colleges Full timeTitle: Student Support Specialist III Full-time Temporary Salary Range: $19.46 hourly (hours vary up to 37.5 hours weekly) Contract Term Length: Not Applicable Standard Hours: to be determined Work Location: Hybrid FLSA Status: Non-Exempt College: Jefferson Community & Technical College Campus Location: Jefferson Southwest C.C. Department: Academic...
-
RN Home Health
2 weeks ago
Louisville, United States HealthCare Support Full timeRN Home Health HealthCare Support is actively seeking a RN Home Health for a 13-week contract located in Louisville, Kentucky. Benefits of this RN Home Healthwith HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Resources Beyond the Recruiter with...
-
Travel Dialysis RN
1 month ago
Louisville, United States HealthCare Support Full timeHealthCare Support is actively seeking a Travel Dialysis RN - Chronic to fill an opening in Louisville, KY for a 12-week assignment. Benefits of this Travel Dialysis RN - Chronic with HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Licensure and...
-
Physical Therapist
3 weeks ago
Louisville, United States HealthCare Support Full timePhysical Therapist HealthCare Support is actively seeking aPhysical Therapist for a 13 - weeks contract located in LOUISVILLE, Kentucky. Benefits of this Physical Therapist with HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Resources Beyond the...
-
AR Specialist
3 weeks ago
Louisville, United States TEKsystems Full timeJob DescriptionJob DescriptionDescription:- Prepare & process various insurance claims, verifies data by conferring with appropriate agencies on a daily basis. -Create & process electronic claims submission for various payers on a daily basis -Research any error claims & make corrections and resubmit -Reviews AR reports on a daily basis & performs follow up...