Senior Enrollment Specialist

6 days ago


Miami, Florida, United States Paradigm Senior Services Full time
Company Overview

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.

  • Miami, Florida, United States Paradigm Senior Services Full time

    About UsAt Paradigm Senior Services, we're committed to revolutionizing home care through innovative technology. We empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. Our goal is to enhance the quality of care for seniors, veterans, and underserved communities by streamlining...


  • Miami, Florida, United States Paradigm Senior Services Full time

    Location & Schedule North Miami, Florida Who We Are At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency...


  • Miami, Florida, United States UnitedHealth Group Full time

    Join UnitedHealth Group as a Healthcare Enrollment Specialist and start a new chapter in your career.This is an exciting opportunity to work with customers who are seeking healthcare coverage. As a Healthcare Enrollment Specialist, you will be responsible for enrolling customers in our products and services and ensuring they receive the best possible...


  • Miami, Florida, United States Gastro Health Full time

    Gastro Health is recruiting a Credentialing Specialist to support the credentialing function within the organization.About the PositionThis role involves coordinating various tasks related to provider credentialing, including payer enrollment, data entry, and document processing.Key ResponsibilitiesPayer Enrollment:Process third-party applications and manage...


  • Miami, Florida, United States Flourish Research Full time

    Flourish Research represents one of the industry's most progressive and diversified clinical trial companies with robust capabilities in various therapeutic areas. We are seeking a highly skilled and organized Patient Enrollment Specialist to join our team.Key ResponsibilitiesPossess a comprehensive understanding of all active study protocols.Daily...


  • Miami, Florida, United States Pinnacle Wound Management Full time

    Job Description Job Description Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory...


  • Miami, Florida, United States Pinnacle Wound Management Full time

    Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking a detail-oriented Provider Enrollment Specialist to join our team. This role is critical in ensuring our healthcare professionals meet all necessary licensing, certification, and regulatory requirements. As a Provider Enrollment...


  • Miami, Florida, United States Miami Jewish Health Full time

    Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex medical needs....


  • Miami, Florida, United States Senior Helpers Full time

    Job Summary:Senior Helpers is seeking a qualified Caregiver/Personal Care Specialist to provide personal care and companionship services to seniors in their homes. This is a rewarding opportunity to make a difference in the lives of others and enjoy a fulfilling career in the healthcare industry.Key Responsibilities:Personal Care: Assist with bathing,...


  • Miami, Florida, United States Senior Helpers Full time

    About the Role:We are seeking a compassionate and dedicated Caregiver/Personal Care Specialist to join our team at Senior Helpers. As a Personal Care Specialist, you will be responsible for providing exceptional care and support to seniors in their homes.Your Responsibilities:Create and maintain open communication with seniors, their families, and our...


  • Miami, Florida, United States Senior Helpers Full time

    Job DescriptionWe are seeking a highly motivated and caring individual to join our team as a Caregiver. As a caregiver with Senior Helpers, you will work one-on-one with your clients to build relationships and provide personalized care. You will also receive specialized training from Senior Helpers and opportunities for professional certifications.Your...


  • Miami, Florida, United States Senior Helpers Full time

    What We Offer:As a Caregiver/Personal Care Specialist with Senior Helpers, you will receive comprehensive training and ongoing support to ensure your success in this role. You will also have the opportunity to work with a dynamic and supportive team, making a positive impact on the lives of seniors in your community.Benefits:Ongoing training and professional...


  • Miami, Florida, United States Senior Helpers Full time

    We are seeking a Domiciliary Care Specialist to join our team at Senior Helpers. In this role, you will be responsible for delivering exceptional care and support to seniors in their homes.About the JobAssist clients with daily living activities such as bathing, dressing, and meal preparationProvide companionship and emotional support to clientsMonitor and...


  • Miami, Florida, United States Mohr Talent Full time

    Senior Tax SpecialistWe are seeking a highly experienced Senior Tax Specialist to join our team at Mohr Talent. This role requires a seasoned tax professional with strong technical expertise, leadership abilities, and a commitment to excellent client service.Key Responsibilities:Oversee tax compliance and planning for a diverse client base, including...


  • Miami, Florida, United States Senior Helpers Full time

    About Senior Helpers:At Senior Helpers, we are committed to providing exceptional care and support services to seniors in their homes. Our experienced team of caregivers provides personalized assistance with daily living activities, allowing seniors to maintain their independence and quality of life.The Caregiver/Personal Care Specialist Role:This is a...


  • Miami, Florida, United States Paradigm Senior Services Full time

    Job SummaryWe're seeking a highly motivated and organized Enrollments Specialist to join our team. As a key member of our enrollment operations team, you will be responsible for managing credentialing and re-credentialing processes for home care providers, ensuring compliance with accrediting bodies and regulatory standards. You will also maintain accurate...


  • Miami, Florida, United States Actalent Full time

    About the JobWe are seeking a seasoned Senior Electronics Specialist to join our team in Miami, FL. As a Senior Electronics Specialist at Actalent, you will be responsible for leading the design and development of electronic circuitry and systems.Key ResponsibilitiesDesign and Development: Leverage cutting-edge tools and methodologies to create innovative...


  • Miami, Florida, United States Booz Allen Hamilton Full time

    Senior IT Security Specialist Job DescriptionWe are seeking a highly skilled and experienced Senior IT Security Specialist to join our team. As a key member of our organization, you will be responsible for designing and implementing robust security measures to protect our clients' networks and systems.Key ResponsibilitiesDesign and implement robust security...


  • Miami, Florida, United States MONTICELLOAM, LLC Full time

    MONTICELLOAM, LLC is a real estate and asset-based lender that provides comprehensive capital solutions for healthcare, multifamily, and commercial real estate assets throughout the US. We are seeking individuals who can work collaboratively and possess drive, integrity, creativity, compassion, and a strong work ethic.We are looking for a Senior Financing...


  • Miami, Florida, United States University of Miami Full time

    The University of Miami offers a unique opportunity for a Senior MyChart Application Specialist to contribute to the success of our healthcare organization. As an Epic Senior Analyst, you will be responsible for leading the implementation, configuration, and maintenance of our MyChart application.Key Responsibilities:Collaborate with stakeholders, end-users,...