Pre-Enrollment Specialist - Insurance - Healthcare - Remote

Jackson Dawson; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

A forward-thinking company is seeking a Pre-Enrollment Specialist to join their remote team. This entry-level position focuses on verifying insurance coverages and maintaining an accurate database for chronic care management and remote patient monitoring programs. Ideal candidates will possess excellent communication and time management skills, along with a dependable and self-directed approach to work. If you are a quick learner with a passion for healthcare and insurance processes, this is an exciting opportunity to contribute to a meaningful mission in virtual patient care.

Qualifications

• Familiarity with insurance plans and verification processes in a clinical setting.
• Experience working with EMRs is preferred.

Responsibilities

• Maintain understanding of program eligibility requirements.
• Initiate outbound calls to verify insurance coverages.
• Update and maintain insurance database accurately.

Skills

Verbal Communication

Time Management

Insurance Verification

Documentation

Excel Data Entry

Quick Learning

Education

Experience in Clinical Setting

Training in Coding/Billing

Tools

EMR Platforms

ADP

Excel

Job description

Pre-Enrollment Specialist - Insurance - Healthcare - Remote

Overview
HealthXL provides virtual patient care services under the guidelines of Medicare’s Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. The Pre-enrollment Specialist (PES) position requires the ability to prioritize work and easily switch between pre-enrollment activities. The PES initiates outbound calls to insurance companies to verify coverage and eligibility for RPM/CCM, updates, and maintains the insurance database. A successful PES will demonstrate excellent time management and communication skills. Full and part-time remote positions are available.

Responsibilities

• Maintain a thorough, up-to-date understanding of program (CCM/RPM) eligibility requirements
• Update and maintain insurance database with verified, accurate coverages
• Initiate outbound calls to insurance providers to verify coverages not in the database
• Access multiple EMR platforms to verify patient eligibility for CCM/RPM
• Maintain accurate timekeeping in ADP
• Understand and follow all applicable regulatory guidelines
• Adhere to company policies including Attendance and PTO
• Willingness to cross-train in support of multiple Enrollment Services functions
• Attend scheduled meetings and trainings and participate as requested

Qualifications

• Demonstrate iCare values: Integrity, Growth, Excellence
• Familiarity with insurance plans and verification processes in a clinical setting
• Training or experience with coding/billing is helpful
• Dependable, self-directed, able to prioritize tasks, with solid time management skills
• Superior verbal communication skills, positive attitude, and empathy
• Ability to provide accurate, thorough documentation
• Quick learner capable of navigating multiple computer platforms
• Experience working with EMRs is preferred
• Comfortable with Excel data entry
• Fluent in English; additional languages are a plus
• Work in a HIPAA-compliant workspace
• High-speed internet connection

Additional Information

Seniority level: Entry level

Employment type: Full-time

Job function: Strategy/Planning and Information Technology

Industries: Marketing Services