Senior Enrollment Specialist
6 days ago
At Paradigm Senior Services, we're revolutionizing home care through innovative technology. As a leading tech company in the sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. Our mission is to enhance the quality of care for seniors, veterans, and underserved communities by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid.
We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence.
Job Description
As an Enrollments Specialist, you will be the primary liaison between our organization, clients, and third-party payers, managing communications and processes related to credentialing applications and requests. This role is essential in ensuring accurate and timely credentialing operations. The ideal candidate is proactive, self-motivated, and skilled at solving problems creatively and analytically while thriving in dynamic environments.
The position works side-by-side with the Medicaid Enrollments Manager and reports directly to the Director of Enrollments. Key responsibilities include overseeing and managing credentialing and re-credentialing processes for home care providers, ensuring compliance with accrediting bodies and regulatory standards.
The successful candidate will maintain accurate and up-to-date records in the credentialing database, providing exceptional customer information management. They will serve as a point of contact for customers, delivering timely updates on application statuses and addressing inquiries via email and phone communication. Additionally, they will conduct thorough research to support the credentialing process, proactively identifying and resolving complex issues to ensure seamless operations.
Core Responsibilities:
- Manage credentialing and re-credentialing processes for home care providers
- Maintain accurate and up-to-date records in the credentialing database
- Serve as a point of contact for customers
- Conduct thorough research to support the credentialing process
Experience and Skills:
The ideal candidate will have a minimum of 1 year of customer service experience, focused on resolving complex issues and de-escalating provider concerns. Experience in credentialing processes is preferred. Strong organizational skills and the ability to manage multiple tasks effectively are essential. The successful candidate will also possess high attention to detail, ensuring accuracy in all aspects of work, as well as proven ability to conduct thorough research and analyze information to resolve issues efficiently.
Required Skills and Qualifications:
- Customer service experience with a focus on resolving complex issues
- Organizational skills with the ability to manage multiple tasks
- Attention to detail and accuracy in all aspects of work
- Ability to conduct thorough research and analyze information
Benefits:
We offer a competitive compensation package, including medical, dental, and vision benefits. A 401k retirement plan and Aflac benefits are also available. Paid time off and professional development support round out our comprehensive benefits package.
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