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Payer Enrollment Specialist Jobs

Director Of Payer Sales
By Labcorp At , Burlington, 27215 $133,557 - $191,480 a year
Skilled delivery of engaging, compelling sales and product presentation, in small and large group settings.
Maintain internal reporting and documentation requirements in SFDC (Salesforce.com) and other applicable areas.
Increase awareness and market knowledge of Ovia.
Minimum 10 years of experience with sales related roles (new business and pipeline development).
Minimum 3 years payer sales experience.
Minimum 3 years experience negotiating term sheets with payers and/or enterprises.
Payer Enrollment Coordinator Jobs
By Medallion At United States
Track and follow-up on enrollment requests, ensuring provider numbers are established and linked to the appropriate group entity
Accurately maintain up to date records in Medallion
Establish close working relationships with payer representatives and operations staff
Assists with a variety of special projects such as CAQH etc.
Performs other duties as assigned
Expertise in using GSuites tools include GSheets, GDocs, and GMail
Payer Enrollment Specialist - Remote
By Natchitoches Regional Medical Center At , Natchitoches, 71457

Job Summary Facilitates the process of governmental enrollment and managed care insurance credentialing/recredentialing for hospital employed practitioners with all contracted insurance ...

Payer Support Specialist Jobs
By Positive Development At United States
Has a sense of urgency, with excellent time management skills.
Experience with CentralReach practice management system is a plus
Maintain job knowledge of funding source operations across all markets.
Manage funding source verification processes across multiple markets.
Manage funding source authorization processes across multiple markets.
Assist in communicating with client families to explain information concerning their benefit coverage.
Payer Account Lead Jobs
By Mirum Pharmaceuticals, Inc. At United States
Understand key customer issues such as legislation, public policy, mergers & acquisitions, IT capabilities, inventory management/distribution, and competitive activity
Align utilization management criteria to label, evidence-based guidelines, and commercial brand strategy
Work across the account (medical, pharmacy, case management) to improve the disease journey for patients
Project manage vendor owned initiatives that offer tools to support Market Access (data, market research, etc.)
Possess strong negotiation capabilities and demonstrated experience in rebate contracting
Maintain a comprehensive knowledge of market and key customer issues
Payer Contract Specialist Jobs
By United Surgical Partners International, Inc At Dallas, TX, United States
Ability to apply knowledge of payer contract terminology and payer reimbursement methodologies including managed care requirements and strategies
Review contract files for accuracy of data entry of contract specifications and terms into database and vendor programs.
Review and respond to any escalated network issues from operations teams to managed care to identify and resolve root cause.
Experience with hospital claims processing preferred but not required.
Experience with EDI files and transactions are preferred.
General knowledge of Insurance and employee health plan administration.
Senior Payer Enrollment Specialist
By Medallion At United States
Use solid critical thinking skills to analyze high-level issues and find timely solutions with long-term success
Participate in short and long wide initiatives with the ability to project manage across various teams when needed
Understand specific application requirements for each payer including prerequisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations
Follow up on enrollments in process (telephone, email, and portal) and maintain enrollment records in Medallion thru timely documentation
Develop, update, and maintain SOPs and workflows as needed
Ensure Medallion has all supporting documentation in provider profiles. This includes all onboarding documents, application copies, welcome letter, and other correspondence
Product Manager, Payer Service Products
By Datavant At United States
You have product management or product implementations experience
Be the Communicator-In-Chief, serving as the critical juncture for information flows about our systems across account management, implementations, engineering, product.
Own the product roadmap, working with Services leadership, product managers, and other stakeholders across the company.
You have experience in systems migration and process improvement
You have experience in healthcare or another regulated field like financial services
Quantify performance by creating a metrics-driven approach to how your products are performing, time to resolve issues, and more.
Senior Payer Enrollment Manager
By Medallion At United States
5+ years of management experience
Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines
4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans
Payor contracting and/or revenue cycle experience
Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.
Support measuring and planning for the team’s performance, capacity, and growth targets.
Payer Enrollment Manager Jobs
By Medallion At United States
2+ years of management experience
Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines
4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans
Lead and develop a team of Payer Enrollment Leads. Help your direct reports grow their skills via mentorship, 1:1s, and reviews.
Payor contracting and/or revenue cycle experience
Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.
Account Manager, Payer Jobs
By Datavant At United States
Identify key areas of internal opportunity provide input to management team
Experience working in the healthcare insurance and/or healthcare audit industry preferred, but not required
Excellent listening, negotiation and presentation skills
Excellent computer and data analytical skills
Operate as the point of contact for any and all matters specific to our customers
Build and maintain strong, long-lasting customer relationships
Vp, Payer Relations Jobs
By Scripps Health At , San Diego, 92121, Ca
Master's Degree in a related field or an equivalent combination of education and experience.
A seasoned executive with five or more years of operations experience who has demonstrated increasingly responsible experience in healthcare administration.
Must demonstrate a track record of being an accomplished executive with health care system experience.
Extensive strategic planning and budget formulation skills at an executive level with complex analytical and problem-solving skills.
Must possess strong leadership skills and be an effective team builder.
Knowledge of State and Federal Healthcare regulations including relating to payer contracts, payment guidelines, etc.
Payer Relations And Success Coordinator
By Grow Therapy At United States
You have 0-2 years of payor enrollment and/or healthcare experience.
Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
Flexible working hours and location (remote OR in-office, your choice!)
In-office lunch and biweekly remote lunch on us!
Follow up on status and escalate as needed to overcome barriers
Payer relations: Set up monthly calls with payers
Payer Enrollment Specialist Jobs
By Medallion At , San Francisco, Ca $20 - $29 an hour
Understand specific application requirements for each payer including prerequisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations
Follow up on enrollments in process (telephone, email, and portal) and maintain enrollment records in Medallion thru timely documentation
Ensure Medallion has all supporting documentation in provider profiles. This includes all onboarding documents, application copies, welcome letter, and other correspondence
Create client updates and participate in client calls as needed
Establish close working relationships with payer representatives and contracting. departments in order to streamline future submissions and improve approval times
Perform other duties as assigned
Payer Solutions Lead, Social Determinant Of Health (Sdoh)
By Datavant At United States
Five (5) or more years of experience in community-based organization, Healthcare and/or Managed Care experience preferred.
Three (3) or more years’ experience working with payer customers and strong client communication skills.
A minimum of a Bachelor's degree in business, finance, analytics, healthcare delivery, public policy, or a related field is required.
Prior relevant work experience focused on SDoH and Health Disparities or population health.
Strong communication skills; ability to present information in a concise manner to multiple organizational levels, including c-suite executives.
Lead and conduct business process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions.
Enrollment Specialist Jobs
By NYC Careers At , Manhattan, Ny $38,333 - $63,794 a year
Enroll, update, and maintain providers and programs with TANF and low-income vouchers.
Update provider/ program license, rates, capacity, social security/EIN#.
Verify provider eligibility with OCFS and/or DoHMH
Generate new provider/ program number in ACCIS.
Conduct research in various childcare databases: ACCIS, CCATS, CCFS, and others specified.
Interview walk-in clients to assist with enrollment information.
Patient Enrollment Specialist Medical Assistant
By PatchRx At Baltimore, MD, United States
Experience managing accounts for Pain Management Clinics
Building strong relationships with the PatchRx partner pain management clinic physicians and team members.
Currently hold one of the following Medical Assistant Certifications:
Three to five years experience as a Medical Assistant in a clinical setting
Experience and excitement to work with an elderly patient population (65+)
Experience working within various EHR and keeping patient records accurate and up to date
Patient Enrollment Specialist Jobs
By Carda Health At United States
- Experience and desire to work remotely (our whole team is remote!)
- 2+ years of experience in a sales role (healthcare preferred but not necessary)
- Experience and desire to work in a sales/customer success environment
- Prior experience using technology tools including GSuite, ZenDesk, Slack
**In a little more detail:**
- Handle questioning and feedback from all consumers who are interested in enrolling
Enrollment Specialist Remote Jobs
By Milliman At United States
• Health insurance industry experience in employee benefits and/or personal insurance is highly preferred
Hourly = $15 per hour PLUS
Enrollment = $40 per enrollment
• Driven, self-motivated, enthusiastic, with a “can do”/”will do” attitude
• Current life & health insurance license or ability to obtain within a short timeframe
• Empathy is not something you practice; it is something you cannot help
Enrollment Specialist Jobs
By Year Up At , Dallas, Tx
Schedule and host information sessions for interested candidates and present compelling information about Year Up’s program offerings
Manage online and print ad placement for recruitment purposes
Manage welcome receptions and acceptance meetings for students at the end of every admissions cycle
Manage the design and production of regular reports to track, document, and measure admissions & recruitment progress
2-3 years of experience preferably in admissions, recruitment, enrollment and/or partnership development
Experience with social media campaigns to drive results

Are you looking for an exciting and rewarding career in the healthcare industry? We are looking for a Payer Enrollment Specialist to join our team! As a Payer Enrollment Specialist, you will be responsible for ensuring accurate and timely enrollment of providers into payer networks. You will also be responsible for managing the payer enrollment process, including gathering and submitting required documentation, tracking enrollment status, and resolving any issues that arise. If you have excellent organizational and communication skills, and a passion for helping others, this could be the perfect job for you!

Overview:

Payer Enrollment Specialists are responsible for ensuring that healthcare providers are enrolled in the appropriate payer networks. They work with payers, providers, and other stakeholders to ensure that providers are enrolled in the correct networks and that all paperwork is completed correctly. They also provide customer service to providers and payers, and help resolve any issues that arise.

Detailed Job Description:

Payer Enrollment Specialists are responsible for managing the enrollment process for healthcare providers. This includes verifying provider information, submitting applications to payers, and ensuring that all paperwork is completed correctly. They also provide customer service to providers and payers, and help resolve any issues that arise. They must stay up to date on payer policies and regulations, and ensure that all providers are in compliance.

What is Payer Enrollment Specialist Job Skills Required?

• Knowledge of healthcare payer networks and regulations
• Excellent customer service skills
• Ability to work independently and manage multiple tasks
• Strong organizational and problem-solving skills
• Proficiency in Microsoft Office Suite

What is Payer Enrollment Specialist Job Qualifications?

• Bachelor’s degree in healthcare administration, business, or related field
• At least two years of experience in healthcare administration or related field
• Knowledge of healthcare payer networks and regulations
• Excellent customer service skills

What is Payer Enrollment Specialist Job Knowledge?

Payer Enrollment Specialists must have a thorough understanding of healthcare payer networks and regulations. They must also be familiar with the enrollment process and be able to accurately complete paperwork.

What is Payer Enrollment Specialist Job Experience?

Payer Enrollment Specialists should have at least two years of experience in healthcare administration or a related field. They should also have experience working with payers, providers, and other stakeholders.

What is Payer Enrollment Specialist Job Responsibilities?

• Verify provider information and submit applications to payers
• Ensure that all paperwork is completed correctly
• Provide customer service to providers and payers
• Resolve any issues that arise
• Stay up to date on payer policies and regulations
• Ensure that all providers are in compliance with payer regulations