Managed Care Enrollment Specialist (Remote)

Centerstone; Springfield, Northern (MO, KY); Hybrid; USD 48,000 - 62,000; Full time

Benefits offered by this job

Paid time off

Benefits package

Training and development

Career mobility

Supportive culture

Job summary

Brightli in the United States is seeking a Managed Care Enrollment Specialist I to join a remote, full-time team. You will enroll and revalidate providers with managed-care payers and ensure proper credentialing.

You will compile enrollment records, generate reports, coordinate with providers, and act as liaison for external privileging while upholding regulatory compliance.

The role emphasizes customer service, organization, and effective communication in a supportive, mission-driven environment.

Qualifications

• High school diploma, GED, or equivalent required.
• Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.
• Healthcare Revenue Cycle experience preferred.

Responsibilities

• Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
• Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.
• Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
• Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
• Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.
• Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.

Skills

Customer service

Time management

Communication

Organization

Analytical skills

Education

High school diploma or GED

Tools

Microsoft Office

Excel

Job description

**Managed Care Enrollment Specialist I** **Location:** Remote / WFH (Work from Home) **Department:** Managed Care **Employment Type:** Full-time**Job Summary:**Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you have exceptional organizational skills, strong communication abilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care Enrollment Specialist I!As a Managed Care Enrollment Specialist I, you'll have the opportunity to work remotely and make a real difference in the lives of patients and providers. You'll be responsible for enrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care.We're looking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency. If you're a team player with excellent communication skills and a strong work ethic, we encourage you to apply!**The Managed Care Enrollment Specialist I position offers...*** \\*\\*All-Inclusive Employee Benefits Package\\*\\* - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and more* \\*\\*Telemedicine\\*\\* – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits* \\*\\*Employee Assistance Program\\*\\* – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost* \\*\\*Career Advancement & Wage Growth\\*\\* - Grow in your career with great opportunities for upward mobility and added income* \\*\\*Comprehensive Training\\*\\* - Learn and develop skills with our robust on-the-job training* \\*\\*Workplace Culture\\*\\* - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement* \\*\\*Remote Work Opportunity\\*\\* - Enjoy the flexibility and comfort of working from home**Key Responsibilities:*** Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.* Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.* Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.* Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.* Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.* Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.**Education, Experience, and/or Credential Qualifications:*** High school diploma, GED, or equivalent required.* Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.* Healthcare Revenue Cycle experience preferred.**Additional Qualifications:*** Excellent customer service, time management, and communication skills (oral and written).* Excellent organization skills and attention to detail.* Analytical skills and the ability to research industry topics and policies, translating information into actionable items.* Ability to multitask on various projects while meeting different deadlines.**Physical Requirements:*** Remote work environment, with minimal physical demands.**Brightli is on a Mission:**At Brightli, we're dedicated to changing and saving lives. Join our team and be part of a compassionate and collaborative environment that values your contributions. Apply now to become a Managed Care Enrollment Specialist I and make a meaningful impact in the healthcare industry!Keywords: Managed Care Enrollment Specialist, Healthcare Administration, Remote Work, Customer Service, Healthcare Revenue Cycle.**Position Perks & Benefits:****Paid time off:** full-time employees receive an attractive time off package to balance your work and personal life**Employee benefits package:** full-time employees receive health, dental, vision, retirement, life, & more**Top-notch training:** initial, ongoing, comprehensive, and supportive**Career mobility:** advancement opportunities/promoting from within**Welcoming, warm, supportive:** a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness**Brightli is on a Mission:**A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.We are an Equal Employment Opportunity Employer.Brightli is a Smoke and Tobacco Free Workplace.