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A leading company in Managed Care and Behavioral Health Services is seeking a detail-oriented individual to manage payer enrollment and compliance. This role offers flexible remote work and a comprehensive benefits package, emphasizing employee well-being and support. Ideal candidates will have a high school diploma and experience in healthcare administration, with strong organizational and communication skills.
Employer Industry: Managed Care and Behavioral Health Services
Why consider this job opportunity:
- Employee Assistance Program offering 24/7 counseling services, legal assistance, and financial consultation at no cost
- Mileage reimbursement for work-related travel
- Employee discounts for hotels, theme parks, attractions, and college tuition
- Flexible remote work opportunity, allowing you to work from the comfort of your home
- Comprehensive benefits package including health, dental, vision, retirement, and life insurance
- Strong focus on employee well-being and supportive workplace culture
What to Expect (Job Responsibilities):
- Compile and submit payer initial enrollment and revalidation applications with accuracy and attention to detail
- Monitor and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders
- Create timely reports for managed care payers and perform routine audits to ensure compliance
- Coordinate with providers to ensure accurate credentials, services, and practice locations
- Act as a liaison for external privileging with other organizations to ensure seamless collaboration
What is Required (Qualifications):
- High school diploma, GED, or equivalent required
- Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred
- Healthcare Revenue Cycle experience preferred
- Excellent customer service, time management, and communication skills (oral and written)
- Strong organization skills and attention to detail
How to Stand Out (Preferred Qualifications):
- Experience in healthcare administration or managed care environments
- Familiarity with credentialing and compliance processes in a healthcare setting
- Strong analytical skills with the ability to research and translate industry topics into actionable items
- Proven ability to multitask on various projects while meeting deadlines
#ManagedCare #BehavioralHealth #RemoteWork #HealthcareAdministration #CustomerService
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