Edi Enrollment Specialist Work From Home Jobs

All specialties have common responsibilities and requirements.

Technical proficiency: the ability to manage multiple open computer windows, use Microsoft Office, and learn new computer systems.

Listen, assess, and understand client needs and questions using a consultative approach

Finalize the participant's application through a structured process

Accurately track and report outbound contact attempts and identify possible trends

Follow all compliance regulations for service and application inquiries

Enrollment processes or previous work experience in regulatory environment

Basic to intermediate skills in MS Excel, MS Word and Outlook are a plus; ability to create and update Excel spreadsheets.

Location:REMOTE : Working Offsite from anywhere in US

·Manage work activities in your work queue (i.e., enrollment missing information, enrollment with effective date change)

Understanding of Center for Medicare/Medicaid Services (CMS) guidelines for Medicare Part D and C

Understanding of basic healthcare terminology and definitions, such as HIPAA

HEDIS knowledge and experience preferred. Dynamo experience preferred.

Comfortable in both team player and team lead roles Dependable/Responsible/Accountable Excellent spoken and written communication skills.

Fully Remote (never coming onsite)

Acts with integrity and uses sound judgment in dealing with confidential information.

Ability to talk to members about preventative gaps in care (i.e.. Mammogram, Blood Pressure, etc.) preferred.

Duration:10+ Months Contract with Possible Extension

HEDIS knowledge and experience preferred. Dynamo experience preferred.

Comfortable in both team player and team lead roles Dependable/Responsible/Accountable Excellent spoken and written communication skills.

Fully Remote (never coming onsite)

Acts with integrity and uses sound judgment in dealing with confidential information.

Ability to talk to members about preventative gaps in care (i.e.. Mammogram, Blood Pressure, etc.) preferred.

Duration:10+ Months Contract with Possible Extension

Make required number of phone calls daily as determined by management

Locate required number of skip accounts as determined by management

Attend training sessions as directed by management

Refer accounts for legal or administrative wage garnishment processes if applicable as dictated by department and/or client requirements.

1 year of experience in a collection, customer service, telemarketing or sales.

Effective written and verbal communication skills

3-5 years of Accounts Payable or related experience working with a large vendor base and high-volume transactions, preferred.

Experience working with large customer base and high volume of transactions

Strong written and oral communication skills

Must have strong knowledge of AP and financial concepts

Experience working with SAP or mainframe based enterprise systems, preferred

Understanding of internal controls including SOX requirements for AP

Comprehensive benefits package offered for eligible employees:

Support our Field teams, Operations and Sales, by delivering timely feedback that empowers our teams to deliver exceptional patient experiences.

Proactively create a better patient experience.

Be a champion of the employee experience and drive our unique company culture.

Upsell patients on items that will improve their sleep therapy experience.

Maintain in-depth knowledge of current marketing promotions.

Make required number of phone calls daily as determined by management

Locate required number of skip accounts as determined by management

Attend training sessions as directed by management

Refer accounts for legal or administrative wage garnishment processes if applicable as dictated by department and/or client requirements.

1 year of experience in a collection, customer service, telemarketing or sales

Effective written and verbal communication skills

We Offer Many Great Benefits, Including

6-12 months of claims adjusting experience preferred

Researches and responds timely to customer inquiries and/or concerns throughout the life of a claim to ensure customer satisfaction and retention.

Identify and escalate files with more significant indemnity exposure or attorney representation to supervisor for review/transfer for further investigation.

Negotiates, settles, and authorizes payment for injury claims with both legal counsel for represented claimants and unrepresented parties.

Regular attendance at work on a full-time schedule of at least 8 hours and 40 hours per week

Equivalent experience will be accepted in lieu of the required degree or diploma.

This position is work from home eligible.

Colorado, Florida, Georgia, Nevada, North Carolina, Texas:

Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, Utah:

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Must have one full year of recent contact center/ Work from Home Contact experience in the last 18 months

Experience working in a high volume call center

First rate decision making skills

Strong analytical skills and problem solving skills

Proven verbal and written communication skills

Remote office internet connection via DSL or Cable Modem with a minimum speed of

Education assistance (tuition, student loan, certification support, dependent scholarships)

Family support through fertility and family building benefits with Progyny and adoption assistance.

Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

1 year of related experience is required

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

100% remote Work from Home

Key qualifications and skills to succeed in this role:

3+ years of relevant experience as a sales/client solutions agent

Experience selling nearshore IT professional services and/or services is definitely a plus

Be the driving force behind our client’s growth

Scope and shape projects, define business solutions, and drive lead generation and sales efforts to hit revenue targets

Must have one full year of recent contact center/ Work from Home Contact experience in the last 18 months

This a Remote Work from Home position

Experience working in a high volume call center

First rate decision making skills

Strong analytical skills and problem solving skills

Proven verbal and written communication skills

Ability to use customer service skills to provide an exceptional experience

Ability to manage projects and assignments from start to completion

3+ years: Experience with medical/business computers applications in provider office or healthcare setting. (Required)

Ability to utilize Microsoft Office Suite

Ability to collaborate and build effective relationships

Ability to maintain confidentiality and understand HIPAA regulations

100% remote Work from Home

Key qualifications and skills to succeed in this role:

3+ years of relevant experience as a sales/client solutions agent

Experience selling nearshore IT professional services and/or services is definitely a plus

Be the driving force behind our client’s growth

Scope and shape projects, define business solutions, and drive lead generation and sales efforts to hit revenue targets

Perform other duties and/or projects as assigned by Management within the area of responsibility and control.

High level of knowledge on reimbursement guidelines as it pertains to an explanation of benefits.

Analytical skills experience and sound judgment to make decisions.

In depth knowledge and understanding of the entire enrollment process

Manage the Employee Access Sheet by updating passwords and access to portals.

Knowledge of patient billing terminology and collections.

Associate's Degree or Medical Coding and Billing Certification a plus

REMOTE work; must have high level Internet speed (50 mbps) connectivity

1 year Billing experience a plus, but not required

Excellent organizational and communication skills

Strong verbal communication skills and excellent ability to listen and respond

Basic knowledge of Microsoft office

Provide customers with education and transparency around distribution and product solutions available to facilitate the client’s decision-making.

Bachelor’s degree in a business-related field or equivalent experience

One year of experience in the financial services industry

Basic knowledge of financial products

Customer service, interpersonal and listening skills to effectively communicate and earn trust.

Excellent written and oral communication and presentation skills.

Knowledge and experience of computers and related technology

Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.

Document the details, requirements, and deadlines of each individual appeal in billing software.

Use reports to manage daily workflow and ensure accounts are processed within required timeframes.

Minimum of one (1) year of advanced medical billing experience

Professional written and verbal communication skills