Payor Strategy Enrollment Coordinator

TridentCare; United States; Remote; USD 42,000 - 68,000; Full time

Job summary

TridentCare is seeking an Enrollment Specialist to handle responses to inquiries, maintain enrollment processes, and ensure compliance with government regulations. The role involves coordinating with legal, compliance, and tax teams to secure certifications and manage credentialing for practitioners or groups.

The position supports enrollment applications and reporting, while maintaining adherence to policies and timelines.

Qualifications

• Strong oral, written, and interpersonal communication skills.
• Demonstrates initiative and ability to work independently.
• Excellent organizational and attention to detail.
• Team player with sound judgement and adaptability to changing priorities.
• Ability to manage multiple and competing priorities.
• Strong analytical skills.

Responsibilities

• Respond to verbal and written inquiries within policy timelines.
• Audit department functions for compliance to policy and government regulations.
• Resolve enrollment issues related to practitioner or group enrollment.
• Collaborate with legal, compliance, tax and other departments for certifications and credentialing.
• Complete enrollment applications and related reports on schedule.
• Assist with project work and other tasks as assigned.
• Provide staff support as requested.

Skills

Microsoft Office

Communication skills

Computer skills

Typing 35 wpm

Job description

PA Horsham PA101062
Horsham Twp, PA 19044, USA

Locations

Showing 1 location PA Horsham PA101062
Horsham Twp, PA 19044, USA +4 more locations

• Remote
• Administrative
• Full-Time
• Requisition #: PAYOR031791

Description

ROLE:

• Key Responsibilities:
• Responses to verbal and written internal or external customer inquiries within policy and procedure timeline.
• Follows policies and procedures to maintain workflow standards.
• Audits department functions for compliance to policy and procedure, contract, and government regulations.
• Resolves claims issues related to practitioner or group enrollment and identifies and communicates opportunities for process improvements.
• Collaborates with the legal, compliance, tax and other departments to obtain and or ensure maintenance of certifications, licenses or other documents necessary for compliance with Government and Third Party payor credentialing and or initial or ongoing enrollment requirements.
• Address problems as they occur. Keep manager advised of areas of concern or compliance issues which may lead to deactivation of enrollments or inaccurate completion of responsibilities.
• Complete all reports according to schedule.
• Participates in projects as they are requested.
• Performs other tasks as assigned to support the goals of the organization.
• Completes enrollment and related applications as needed.
• OTHER RESONSIBILITIES:
  • Provides staff support as requested.
  • Other Duties as assigned.
• Required Skills and Qualifications:
• Strong oral, written, and interpersonal communication skills.
• Demonstrates initiative, ability to work independently.
• Excellent organizational and attention to detail skills required.
• Must be a team player and self-starter able to exercise sound judgement to handle a variety of issues.
• Must have a high tolerance for ambiguity and the flexibility to respond quickly and appropriately to changing circumstances and priorities as necessary.
• Able to prioritize, trouble-shoot, and problem solve.
• Strong Analytical skills required.
• Must have the ability to manage multiple and competing priorities.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions While performing the duties of this job, the employee is frequently required to talk and to hear. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus. Employee must have internet access to perform job duties.

WORK ENVIRONMENT:

Qualifications

Skills

Required

Microsoft Office Intermediate

Advanced

Communication Skills Advanced

Computer Skills Advanced

Preferred

Typing Skills Min 35 wpm Intermediate

Behaviors

Required

Team Player : Works well as a member of a group

Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.