Managed Care Enrollment Specialist (Remote)

Brightli; United States; Teletrabalho; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

All-inclusive benefits

Telemedicine

Employee Assistance Program

Career growth

Training

Culture

Remote work

Resumo da oferta

Brightli in the United States is seeking a Managed Care Enrollment Specialist I to support remote enrollment and revalidation of providers with managed-care payers. The role emphasizes accuracy, organization, and strong communication to improve credentialing and workflow efficiency.

The position is full-time and remote, offering comprehensive benefits and opportunities for career growth. You’ll contribute to streamlining processes while delivering excellent customer service to patients and

Qualificações

• High school diploma or GED required.
• Experience with Microsoft Office and Excel preferred.
• Healthcare Revenue Cycle experience preferred.

Responsabilidades

• Compile and submit payer enrollment and revalidation applications with accuracy.
• Maintain enrollment records and notify stakeholders of updates.
• Create reports for managed care payers and audit records for compliance.
• Coordinate with providers to ensure accurate credentials and locations.
• Act as liaison for external privileging and contractual obligations.
• Adhere to department standards and regulatory requirements.

Conhecimentos

Customer service

Organizational skills

Communication skills

Attention to detail

Multitasking

Time management

Formação académica

High school diploma or GED

Ferramentas

Microsoft Office

Excel

Descrição da oferta de emprego

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.

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.