Healthcare Enrollment Specialist
3 days ago
We are seeking a highly organized and detail-oriented Healthcare Enrollment Specialist to join our team. In this role, you will be responsible for handling provider file update requests in a timely and efficient manner.
You will work closely with various departments and teams to ensure that provider file update requests and demographic-related claim denial inquiries are handled appropriately. This includes coordinating with the Data Maintenance Team to handle correspondence from non-par providers and communicating receipt/completion of all file update correspondence to providers/designees.
Key Responsibilities:
- Manage provider file update requests and corresponding correspondence
- Coordinate with departments and teams to resolve issues related to provider file updates and claim denials
- Educate participating providers on process updates and escalate any issues as needed
Requirements:
- High School diploma required; Bachelor's degree preferred
- Minimum one year of experience in Managed Care, provider billing, and/or customer service (or three years without a degree)
- Knowledge of Microsoft Office
Estimated Salary: $55,000 - $65,000 per year based on location and experience.
Benefits: We offer a competitive benefits package including medical, dental, and vision insurance, 401(k) plan, and paid time off.
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