Register
Recruit Create CV

Payor Enrollment Coordinator Jobs

Enrollment Coordinator Jobs
By 1st Credentialing At United States
This is not a management position but it is a leadership role.
We do not consider any primary source experience for this job.
NEED A GREAT NEW JOB!
Alabama, Florida, Georgia, Indiana, Oklahoma, Nevada, North Dakota, North & South Carolina, Texas, Tennessee,
Enrollment Operations Coordinator Jobs
By Keypath Education At United States
1+ years of experience in Higher Education required
Proficient with Adobe Acrobat or equivalent document management software
Evaluates transcripts for admission requirements and transfer credit
Performs other duties and responsibilities as assigned by supervisor
Transfer credit evaluation experience highly desired
Excellent written and oral communication skills
Product Manager- Payor/Medicare/Medicaid/Commercial
By HopHR At New York, NY, United States
Any combination of education and experience, which would provide an equivalent background
Health or managed care experience
Requires a BA/BS degree in a related field and a minimum of 2 years of related experience(Or)
Strong strategic managed care understanding for Medicare Advantage, Medicaid, Commercial and chronic complex populations
Extensive knowledge of CMS, NCQA regulatory guidelines
Exceptional communication skills (verbal and written) and executive presence
Director, Payor Sales - West
By TytoCare At New York City Metropolitan Area, United States
Role responsibilities include, but are not limited to:
· Bachelors degree with 6 years of relevant healthcare industry Sales experience, specifically SaaS
· Represent at conferences and other relevant industry events
· Collaborate with marketing, product, and strategy teams to ensure that priorities aligned
Our ideal candidate will have:
· Willingness to travel 25%+
Payor Performance Analyst Jobs
By Novant Health At Charlotte, NC, United States
Education: Bachelor’s degree, required. Bachelor’s Degree in Mathematics, Accounting, Finance, Economics Health Care Administration or related field. Master’s degree, preferred.
Conducting thorough analysis of internal and external factors surrounding Payor Programs as well as ongoing proposal development and evaluation
Building one-off financial projections, decision support models and financial reporting for evolving new products, performance programs, risk models and other initiatives
Assessing competitive pricing and value based care position utilizing varying data sources
Providing support for various multi-disciplinary projects in support of NH pricing strategy, strategic imperatives and revenue cycle activities
Evaluating healthcare total cost of care risk and opportunities for populations
3Rd Party Payor Enrollment Specialist
By Pophealthcare Llc At , Remote $55,000 - $58,000 a year
Knowledge of NCQA requirements with survey experience preferred
Tracks requirements and timeline for re-credentialing.
Alerts clinicians of re-credentialing requirements based on internal and external standards.
Supports PopHealthCare processes to assure licensure and certification are maintained
Supports PopHealthCare processes for state regulatory requirements for nurse practitioners and physician assistants.
Previous experience in credentialing of physicians, nurse practitioners, or physician assistants (minimum of 2 years preferred)
Provider Enrollment Support Coordinator (Dentaquest) Remote
By DentaQuest At United States
2 years of experience in business environment.
Excellent verbal and written communication skills.
Proficiency in the use of Cactus credentialing software preferred.
High School diploma or equivalent
Proficient in the use of Excel.
Proficient in general computer software (Word, Outlook, PowerPoint).
Outreach & Enrollment Coordinator Jobs
By Mindoula At United States
Data entry and database management are required.
Experience working on, leading or participating in sales, outreach, engagement, and/or enrollment campaigns.
Customer service experience is required.
Experience working with high-risk, complex adults preferred.
Experience with Electronic Medical Records preferred.
Be a positive ambassador of Mindoula Health.
Enrollment Coordinator (100% Remote) Jobs
By Interwell Health At United States
Experience in a healthcare setting, working with patients and knowledge of HIPAA compliance is a plus
Follow established company policies and procedures and apply acquired job skills to accomplish daily enrollment/ disenrollment operations/processes
2+ years of experience in patient support, customer service, call center, or sales
Fertility benefits and 12 week, fully paid parental leave
Meet or exceed set goals, such as rate of enrollments/engagements, call volume, and documentation quality
Determine eligibility for related plan members to ensure compliance. Obtain missing information for enrollment completion
Payor Enrollment Specialist - Remote
By symplr At , From $17 an hour
Ability to interact positively in a team environment, demonstrating superior teamwork skills.
Any other assigned responsibilities as requested by Supervisor, not specifically noted above.
Good critical thinking and problem-solving skills
Ability to Manage Time without Immediate Supervision
0-2 years of college preferred or applicable work experience
Experience with Microsoft Office, i.e., Excel and Word, and Adobe / FoxIt
Payor Enrollment Specialist Jobs
By Saint Luke's Health System At Kansas City Metropolitan Area, United States
We offer a Career Advancement Program to expand your skills and grow your career.
Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more.
Coordinate the initial enrollment and for managed care companies and government agencies
Maintain provider’s enrollment status by coordinating revalidations for payors ever 2-3 years as required by manage care companies, Medicaid and Medicare
Must have a minimum of 1 year prior experience specifically in payor enrollment or as a credentialing specialist required
Telecommute position with some on site meetings, offers career ladder advancement opportunities, and includes a bonus program.
Open Enrollment Coordinator Jobs
By Elevance Health At United States
Provides strategic and tactical support to Open Enrollment Coordinators and Account Management Teams
Manages OE intranet site administration and content.
Manages promotional budget for National and Local Accounts.
Manages meeting data to include meeting logistics, tracking of orders, recruitment of meeting facilitators and capturing meeting feedback.
Experience in healthcare industry preferred.
Experience in developing PowerPoint presentations
Member Enrollment Coordinator Jobs
By PrudentRx At Tampa, FL, United States
Complete all necessary continued learning and training requirements per department and company need
1 to 2 years Call Center experience in fast-paced setting
Excellent written and communication skills
Experience with Salesforce or other CRM software
Shift start times range from 10:00a - 11:30am Est Monday- Friday [Excepting applicants in EST, CST, MST time zone]
Equipment and hardware provided. Interviewing, orientation, and training are conducted virtually.
Enrollment Operations Coordinator Jobs
By Auburn University At , Auburn, Al $40,100 - $64,200 a year
Minimum Skills, License, and Certifications
Collaborates with campus stakeholders to provide opportunities for their information to be used and shared via the telecounsleors.
Assists with assessing Enrollment Operations materials and messaging for both accuracy and adherence to the brand.
Performs other duties as assigned.
Auburn University is excited to begin the search for an Enrollment Operations Coordinator!
City position is located in:
Onboarding & Enrollment Care Coordinator
By Oshi Health At Nashville, TN, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
Onboarding & Enrollment Care Coordinator
By Oshi Health At Baltimore, MD, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
Onboarding & Enrollment Care Coordinator
By Oshi Health At Dallas, TX, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
Payor Analyst (Remote) Jobs
By ResMed At Peachtree Corners, GA, United States
High school diploma required; equivalent combination of education and experience will be considered
Key accountabilities and decision ownership:
Collaborates with worldwide resources to ensure effective knowledge, information sharing, and quick resolution of service performance issues.
Other tasks and responsibilities as assigned
Minimum of 2 years of home infusion billing or accounts receivable experience required
Minimum of 2 years of experience working in & maintaining HIPAA standards
It Director - Payor/Provider Optimization
By Florida Blue At , Remote $140,000 - $175,000 a year
5+ years direct supervisory/management experience
Excellent decision-making, problem-solving, organization, prioritization, team-building, conflict management and time management skills
Documentation creation and Documentation Library management
Application management, upgrade and maintenance
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
Provides oversight of decision-making and prioritization for multiple complex, business critical initiatives, capabilities or functions
Enrollment Coordinator Jobs
By Tech Providers, Inc At Columbus, GA, United States
Analyzes an accounts benefits offering and recommends improvements as necessary.
Maintains EDI mapping guidelines at a client/vendor level to ensure compliance to all business requirements.
Reviews electronic vendor files in order to identify errors.
Resolves the root cause of identified file errors and takes action to avoid reoccurrence.
Determines solutions to improve or correct failed file transactions.
Supports the development and implementation of enrollment strategies for technology providers and select career associates.

Are you looking for an exciting opportunity to join a growing team in the healthcare industry? We are looking for a Payor Enrollment Coordinator to join our team and help us manage our payor enrollment process. You will be responsible for ensuring that all payors are enrolled in a timely and accurate manner, and will be the primary contact for any payor-related inquiries. If you have experience in payor enrollment and are looking for a challenging and rewarding role, then this is the job for you!

Overview:

Payor Enrollment Coordinators are responsible for managing the enrollment process for health insurance payors. They are responsible for ensuring that all necessary paperwork is completed and submitted in a timely manner, and that all payor requirements are met. They also provide support to providers and staff in understanding and navigating the payor enrollment process.

Detailed Job Description:

Payor Enrollment Coordinators are responsible for managing the enrollment process for health insurance payors. This includes ensuring that all necessary paperwork is completed and submitted in a timely manner, and that all payor requirements are met. They also provide support to providers and staff in understanding and navigating the payor enrollment process. They must be knowledgeable about the various payor requirements and regulations, and must be able to interpret and explain them to providers and staff. They must also be able to identify and resolve any issues that arise during the enrollment process.

What is Payor Enrollment Coordinator Job Skills Required?

• Knowledge of health insurance payor requirements and regulations
• Excellent communication and customer service skills
• Ability to interpret and explain payor requirements and regulations
• Ability to identify and resolve issues that arise during the enrollment process
• Attention to detail
• Organizational and time management skills
• Proficiency in Microsoft Office Suite

What is Payor Enrollment Coordinator Job Qualifications?

• Bachelor’s degree in business, healthcare administration, or related field
• Previous experience in healthcare administration or related field
• Knowledge of health insurance payor requirements and regulations
• Excellent communication and customer service skills
• Ability to interpret and explain payor requirements and regulations
• Ability to identify and resolve issues that arise during the enrollment process

What is Payor Enrollment Coordinator Job Knowledge?

• Knowledge of health insurance payor requirements and regulations
• Knowledge of healthcare administration and related fields
• Knowledge of Microsoft Office Suite

What is Payor Enrollment Coordinator Job Experience?

• Previous experience in healthcare administration or related field
• Previous experience in payor enrollment coordination

What is Payor Enrollment Coordinator Job Responsibilities?

• Manage the enrollment process for health insurance payors
• Ensure that all necessary paperwork is completed and submitted in a timely manner
• Provide support to providers and staff in understanding and navigating the payor enrollment process
• Interpret and explain payor requirements and regulations
• Identify and resolve any issues that arise during the enrollment process