Healthcare Enrollment Specialist

2 weeks ago

Alpharetta, United States LocumTenens Full time
About the Role

We are seeking a highly organized and detail-oriented Healthcare Enrollment Specialist to join our team at LocumTenens. As a key member of our enrollment team, you will be responsible for facilitating the physician and mid-level enrollment applications process for Medicare, Medicaid, and commercial payers.

Key Responsibilities
  • Enrollment Documentation and Applications - 80%
    • Initiate the payer enrollment process with all payers identified by the client for enrollment
    • Complete all required applications for submission to payers
    • Coordinate credentialing data needed for enrollment, contracting, and other related purposes
    • Create providers in CAQH ProView as necessary
    • Enter and update clinician information in the database
    • Collect, monitor, and analyze enrollment operations performance data relative to established goals and metrics to identify potential risks and/or areas of opportunity and prepare action plans for improvement
    • Focus on enrollment-related continuous process improvement to ensure optimal operation
  • Internal and External Liaison - 20%
    • Act as liaison to CVO, clients, outside agencies, physicians, medical practice groups, health plans, etc.
    • Respond to internal and external inquiries on routine enrollment and contract matters
    • Work closely with clinicians to obtain missing documentation pertaining to provider enrollment
Requirements
  • High School Diploma or equivalent required. Bachelor's Degree preferred.
  • 3+ years of related experience required
Preferred Qualifications
  • Working knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Teams
  • Working knowledge of CMS, PECOS, CAQH, NPPES payer credentialing software
  • Working knowledge of PDF editing software
  • Working knowledge of Salesforce
What We Offer
  • Company-paid benefits (Basic Life and AD&D, Short and Long-Term Disability, Employee Assistance Program, Compass Health Advocate and Transitions)
  • Healthcare benefit options (Value Plan, High Deductible Plan with HSA, Healthcare FSA, Dependent Care FSA, Prepaid Legal Services, 529 Savings Plan, Pet Insurance)
  • Paid maternity and paternity leave
  • 401K with 35% match for every dollar up to 8%
  • PTO that accrues at a rate of 15 days/year for 1st year and continues to increase with tenure
  • Tuition reimbursement for continuing education
  • An opportunity to work at a state-of-the-art facility in Alpharetta which features an on-site daycare and cafeteria, world-class fitness center and wellness clinic
EEO Statement

LocumTenens is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.

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