Managed Care Enrollment Specialist (Remote)

Talentify.io; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player in healthcare services is seeking a detail-oriented individual to join their team. This role involves managing payer enrollment applications and maintaining accurate records while ensuring compliance with external organizations. The company offers a comprehensive benefits package, opportunities for career advancement, and a flexible remote work environment that fosters a supportive culture. If you thrive in a collaborative setting and have a passion for healthcare administration, this is the perfect opportunity to make a meaningful impact in a rewarding field.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Retirement Plan

Life Insurance

Flexible Remote Work

Telemedicine Services

Employee Assistance Programs

Qualifications

• High school diploma or equivalent required; experience in healthcare administration preferred.
• Strong customer service, time management, and communication skills are essential.

Responsibilities

• Compile and submit payer enrollment applications with accuracy.
• Maintain enrollment records and communicate updates to stakeholders.

Skills

Customer Service

Time Management

Communication Skills

Analytical Skills

Education

High School Diploma or GED

Tools

Microsoft Office

Excel

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

1. Comprehensive employee benefits package, including health, dental, vision, retirement, life insurance, and more
2. Opportunities for career advancement and wage growth within the organization
3. Flexible remote work opportunity, allowing you to work from home
4. Supportive and collaborative workplace culture that promotes employee well-being
5. Access to 24/7 telemedicine services and employee assistance programs

What to Expect (Job Responsibilities):

1. Compile and submit payer initial enrollment and revalidation applications, ensuring accuracy and attention to detail
2. Maintain accurate enrollment records for all providers and communicate updates to internal stakeholders
3. Create reports for managed care payers and conduct routine auditing of payer records
4. Coordinate with providers to ensure accurate credentials, services, and practice locations
5. Act as a liaison for external privileging with other organizations to ensure compliance

What is Required (Qualifications):

1. High school diploma, GED, or equivalent required
2. Experience in healthcare administration preferred
3. Proficiency in advanced Microsoft Office and Excel preferred
4. Strong customer service, time management, and communication skills
5. Excellent organization skills and attention to detail

How to Stand Out (Preferred Qualifications):

1. Experience in healthcare revenue cycle preferred
2. Ability to multitask on various projects while meeting deadlines
3. Analytical skills with the ability to research industry topics and policies