Payer Enrollment Specialist

3 months ago

Norwich, United States United Community & Family Services, Inc. Full time

Job Type

Full-time

Description

Be part of a team where you can advance your clinical skills, make vital connections, and become an advocate for your clients and the community. You will have opportunities to cultivate and enhance your clinical skills through individual and group supervision, in-house training, and outside training. Our team is passionate about the services we provide and is committed to making a difference, while striving to become more culturally competent and affirming each day. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more.

We are seeking a highly motivated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate

is responsible for the insurance enrollment and credentialing process for all new and established providers, and maintenance of information to include application completion, follow up, setup in participating insurance contracts. Looking for someone who has thorough knowledge and is proficient in all aspects of payer and provider enrollment in a professional healthcare practice setting. Experienced with the payer enrollment application process for commercial, government, and managed care contracts. Working knowledge of FQHC regulations is preferred. The focus will be, but not limited to, provider and facility enrollment with all contracted payers from start to finish for new and established providers and other licensed staff.

  • Collect and maintain providers' credentials and supporting documentation for the purpose of enrolling individual providers with payers.
  • Maintain CAQH electronic database of provider information and credentials. Work with enrolled providers to ensure ongoing attestations are completed in a timely manner.
  • Maintain good rapport and professional communication with all providers, Credentialing Specialist, internal stakeholders, and Health Plan Representatives.
  • Ensure all providers are credentialed with insurance companies at all times to allow for maximum reimbursement of services rendered, to include completing all insurance company/contract forms related to provider credentialing and submits in a timely manner; tracks and follow up on all credentialing applications to ensure timely processing; communicate status to management staff.
  • Update participating provider list, including supervisory changes, on an ongoing basis to ensure accuracy in billing and scheduling.
If you are a self-starter with a passion for healthcare and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive salary and benefits packages, as well as opportunities for growth and advancement within the company.

Requirements
  • Fully remote In Eastern Standard Time only
  • High school diploma or equivalent
  • Minimum of 2 years of experience in healthcare payer enrollment/physician billing
  • Experience with Federally Qualified Health Center (FQHC) billing and credentialing processes.
  • Strong attention to detail and ability to manage multiple tasks simultaneously and independently
  • Excellent communication and interpersonal skills
  • Working knowledge of EPIC and/or Credential Stream preferred
  • Experience with the Medicare PECOS system preferred
  • All employees at UCFS are required to be vaccinated against COVID-19
UCFS offers a comprehensive benefits package including:
  • Flexible schedules
  • Competitive salaries
  • Generous paid time off including 3 weeks vacation, 5 floating holidays and 10 sick days each year
  • Medical, dental and vision insurance
  • 401(k) plan with 6% employer contribution
  • Paid life and disability insurance

UCFS does not just welcome diversity, we celebrate it We strive for diversity throughout our organization to reflect and represent the communities we serve. UCFS is committed to providing equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, pregnancy, national origin, age, disability, sexual orientation, gender identity, genetic information, veteran status or any other characteristic protected by applicable law. BIPOC candidates are encouraged to apply.

  • Payer Enrollment Specialist

    2 weeks ago

    Norwich, Connecticut, United States United Community & Family Services, Inc. Full time

    Payer Enrollment Specialist Job DescriptionAt United Community & Family Services, Inc., we are seeking a highly motivated and detail-oriented Payer Enrollment Specialist to join our team. As a Payer Enrollment Specialist, you will be responsible for the insurance enrollment and credentialing process for all new and established providers, and maintenance of...

  • Payer Enrollment Specialist

    1 week ago

    Norwich, Connecticut, United States United Community & Family Services, Inc. Full time

    Payer Enrollment SpecialistUnited Community & Family Services, Inc. is seeking a highly motivated and detail-oriented Payer Enrollment Specialist to join our team. The ideal candidate will be responsible for the insurance enrollment and credentialing process for all new and established providers, and maintenance of information to include application...

  • Enrollment Management Specialist

    2 weeks ago

    Norwich, Connecticut, United States Connecticut State Community College Full time

    Job Title: Enrollment Management SpecialistConnecticut State Community College is seeking a highly skilled Enrollment Management Specialist to join our team. As a key member of our enrollment services team, you will play a critical role in ensuring the delivery of high-quality enrollment services to our students.Job Summary:The Enrollment Management...

  • Enrollment Management Specialist

    4 weeks ago

    Norwich, Connecticut, United States Connecticut State Community College Full time

    Job SummaryWe are seeking a highly motivated and organized Enrollment Management Specialist to join our team at Connecticut State Community College. The successful candidate will be responsible for providing exceptional customer service to students, faculty, and staff, while ensuring the smooth operation of enrollment services.Key ResponsibilitiesAssist...

  • Enrollment Management Specialist

    1 month ago

    Norwich, Connecticut, United States Connecticut State Community College Full time

    Job SummaryWe are seeking a highly skilled Enrollment Management Specialist to join our team at Connecticut State Community College. This is a tenure-track position that requires a strong understanding of student records and enrollment practices, as well as excellent communication and interpersonal skills.Key ResponsibilitiesDeliver a comprehensive, one-stop...

  • Enrollment Management Specialist

    1 week ago

    Norwich, Connecticut, United States Connecticut State Community College Full time

    Job SummaryWe are seeking a highly skilled Enrollment Management Specialist to join our team at Connecticut State Community College. This role is responsible for delivering a comprehensive, one-stop enrollment services experience to all credit students on our campus.Key ResponsibilitiesAssist in the delivery of a comprehensive, one-stop enrollment services...

  • Enrollment Management Specialist

    4 weeks ago

    Norwich, United States Connecticut State Community College Full time

    Details: Posted: September 25, 2024 Level: Community College Professional 15, 12-month, tenure track position. Hours: Full-time, 35 hours per week Closing Date: The committee will begin review of applications immediately. Applications must be submitted by 5:00pm (EST) on Wednesday, October 23, 2024 Location: CT State Three Rivers 574 New London Turnpike,...

  • Professional Billing Specialist

    2 weeks ago

    Norwich, Connecticut, United States OB-GYN SERVICES, PC Full time

    Job Title: Professional Billing SpecialistAbout the Role:OB GYN Services, PC is seeking a highly skilled and experienced Professional Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for processing claims, managing accounts receivable, and collecting payments. Responsibilities:Process and submit claims...

  • Medical Care Specialist

    4 days ago

    Norwich, Connecticut, United States Optum Full time

    Transforming Healthcare at HomeOptum Home & Community Care is pioneering a new approach to health care, integrating industry-leading solutions to create a seamless care experience for patients. As a member of our Landmark product team, you'll play a vital role in bringing home-based medical care to complex, chronic patients, helping them access and navigate...

  • Licensed Clinician LCSW- Case and Utilization Management Specialist

    4 weeks ago

    Norwich, Connecticut, United States The ARRA Group Full time

    Job Title:Licensed Clinician LCSW- Case and Utilization ManagementJob Summary:The ARRA Group is seeking a skilled and dedicated Licensed Clinician LCSW- Case and Utilization Management to provide utilization and case management services in the Emergency Department setting.Responsibilities:Conduct concurrent utilization reviews to assess the medical necessity...

  • Physician-Internal Medicine

    4 weeks ago

    Norwich, United States United Community & Family Services, Inc. Full time

    Job Type Full-timeDescriptionUCFS is looking for candidates who are passionate about making a difference in the lives of others! We are seeking a highly skilled and compassionate Physician of Internal Medicine to join our team. As a Physician of Internal Medicine, you will be responsible for providing comprehensive medical care to adult patients, managing...

  • Physician-Internal Medicine

    4 weeks ago

    Norwich, United States United Community & Family Services, Inc. Full time

    Job Type Full-timeDescriptionUCFS is looking for candidates who are passionate about making a difference in the lives of others! We are seeking a highly skilled and compassionate Physician of Internal Medicine to join our team. As a Physician of Internal Medicine, you will be responsible for providing comprehensive medical care to adult patients, managing...

  • Psychiatric Nurse Practitioner

    3 weeks ago

    Norwich, Connecticut, United States AdeIphi MedicaI Staffing Full time

    About the RoleWe are seeking a skilled Psychiatric Nurse Practitioner to join our team at a clinic in Chenango County, New York. The ideal candidate will have experience in serving patients with developmental disabilities and a strong commitment to providing high-quality care.Key ResponsibilitiesProvide on-site psychiatric care and consultative services for...

  • Physician-Internal Medicine

    1 month ago

    Norwich, United States United Community & Family Services, Inc. Full time

    Job Type Full-time Description UCFS is looking for candidates who are passionate about making a difference in the lives of others! We are seeking a highly skilled and compassionate Physician of Internal Medicine to join our team. As a Physician of Internal Medicine, you will be responsible for providing comprehensive medical care to adult patients, managing...

  • Physician-Internal Medicine

    2 weeks ago

    Norwich, United States United Community & Family Services, Inc. Full time

    Job Type Full-time Description UCFS is looking for candidates who are passionate about making a difference in the lives of others! We are seeking a highly skilled and compassionate Physician of Internal Medicine to join our team. As a Physician of Internal Medicine, you will be responsible for providing comprehensive medical care to adult patients, managing...