Medical Enrollment Specialist | Coppell, TX
22 hours ago
The Medical Enrollment Specialist will be responsible for managing and maintaining the enrollment and credentialing process for health insurance plans, state Medicaid entities, and Medicare for all company-owned entities.
This role involves processing commercial and governmental applications and re-applications, initial mailing, review, and loading into the database tracking system to ensure timely and quality standards are met.
The ideal candidate will have experience in healthcare contracting, analytical skills, attention to detail, and the ability to work independently within guidelines and company policies.
Key Responsibilities- Securing and maintaining health insurance plan enrollment and re-enrollment for the Company
- Perform necessary follow-up with state and federal agencies
- Completing commercial plan facility credentialing and re-credentialing forms
- Securing Electronic Funds Transfer form with authorized signature
- Create and maintain web portal registration for executed contracts
- Maintain Commercial Contract Summary Log
- Maintain government entity Tracking log
- Maintain department files in an organized manner
- High School diploma or equivalent required; Bachelor's degree preferred
- One plus year of experience in healthcare contracting
- Computer skills to include Word, Excel, Power Point, Outlook
- Strong interpersonal and communication skills, written and oral
- Ability to manage open projects to the end with successful follow up
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