Sr. Payer Enrollment
1 week ago
Job DescriptionLocation: Hybrid, 2 days a week in our North Haven CT Office.The Sr. Payer Enrollment & Implementation Specialist is responsible for the AthenaOne payer enrollment process which includes EDI, ERA, EFT payer registration and working with the client to update PECOS and Medicaid accounts, as needed.Prepares presentations and communicates to clients the roles and responsibilities of both Privia and the client during the implementation process with regard to Athena payer registration.Works closely with the client at their site to establish or update EDI set up for athena.Completes all worklist items/tasks in athena regarding EFT, ERA, EDI setup once client has confirmed completion.Assists the client with updates to the Medicare 855B group record that includes EFT and pay to address updates or assists in implementing a new Medicare 855B record, as needed.Provides weekly updates to all key stakeholders on athena payer enrollment table and brings to light any risk(s) to the Go Live date.Works in the claims system to identify any claims issues related to enrollment and works with local leaders to ensure this is resolved.Updates provider “PAR” statuses in athena so that claims will not hold when the CC goes live.Works with other Privia partners, including RCM, credentialing, and operations in addressing any provider enrollment issues.Update claims system and releases claims on a regular basis.Works SalesForce cases to provide updates to Care Centers on provider statuses.Works with both internal and external stakeholders to resolve complex Athena enrollment issues.Supports special projects requiring knowledge of athena.Interacts with varied levels of management, physician office staff and physicians effectively to accomplish credentialing and various elements of implementation and launchMaintains confidentiality of provider informationCoordinate and prepare reportsOther duties as assigned.Qualifications2+ years experience in payer enrollment & credentialing AthenaOne EMR experience preferredAthena EDI set up experience preferredKnowledge of EFT, ERA, and EDI enrollment and claims systems preferred Knowledge of PECOS for Medicare & Medicaid enrollment preferredExcellent client interaction skillsDemonstrated skills in problem solving and analysis and resolutionMS Excel skills (vlookup, pivot tables)Must be able to function independently, possess demonstrated flexibility in multiple project managementMust comply with HIPAA rules and regulationsAbility to travel locally within the state of Connecticut, as neededThe salary range for this role is $60,000 to $68,000 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
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Sr. Payer Enrollment
2 weeks ago
North Haven, United States Privia Health Full timeJob DescriptionLocation: Hybrid, 2 days a week in our North Haven CT Office.The Sr. Payer Enrollment & Implementation Specialist is responsible for the AthenaOne payer enrollment process which includes EDI, ERA, EFT payer registration and working with the client to update PECOS and Medicaid accounts, as needed.Prepares presentations and communicates to...
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Sr. Payer Enrollment
2 weeks ago
North Haven, United States Privia Health Full timeCompany Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in‑person and virtual settings. The Privia Platform is led byാർ...
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Sr. Payer Enrollment
6 minutes ago
New Haven, Connecticut, United States Privia Health Full timeCompany DescriptionPrivia Health is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and population health management programs, Privia works in...
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Sr. Payer Enrollment
5 days ago
North Haven, CT, United States Privia Health Full timeCompany Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top...
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Sr. Payer Enrollment
2 days ago
North Haven, CT, United States Privia Health Full timeCompany Description Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top...
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Senior Payer Enrollment
2 weeks ago
North Haven, United States Privia Health Full timeA national physician enablement firm seeks a Sr. Payer Enrollment & Implementation Specialist responsible for managing the AthenaOne payer enrollment process. This includes EDI set up and working closely with clients to maintain enrollment records. Candidates should have 2+ years in payer enrollment, experience with AthenaOne EMR, and strong communication...
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Senior Payer Enrollment
1 week ago
North Haven, United States Privia Health Full timeA national physician enablement firm seeks a Sr. Payer Enrollment & Implementation Specialist responsible for managing the AthenaOne payer enrollment process. This includes EDI set up and working closely with clients to maintain enrollment records. Candidates should have 2+ years in payer enrollment, experience with AthenaOne EMR, and strong communication...
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Sr. Payer Enrollment
1 week ago
North Haven, United States Privia Health Full timeCompany Description Privia Health™ is a technology‑driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high‑value care in both in‑person and virtual settings. The Privia Platform is led by...
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Senior Athena Payer Enrollment
1 week ago
North Haven, United States Privia Health Full timeA leading healthcare technology company seeks a professional for a role in payer enrollment and credentialing. The candidate will prepare client presentations and manage EDI setups while ensuring compliance with HIPAA regulations. Required qualifications include over two years of experience in payer enrollment and strong client interaction skills. The...
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Enrollment Specialist/Registrar
2 days ago
New Haven, CT, United States Central Connecticut Coast YMCA Full timeDescription The Enrollment Specialist/Registrar manages enrollment and registration processes for assigned programs, ensuring accurate records, strong customer service, timely collections, and compliance with applicable YMCA policies and third-party requirements. The Enrollment Specialist/Registrar supports a welcoming, organized experience for families and...
