Provider Enrollment Specialist

MedStar Health; Tampa (FL); On-site; USD 10,000 - 60,000; Full time

Job summary

MedStar Health seeks an Enrollment Specialist II responsible for enrolling clients in electronic claims management. Key responsibilities include managing customer inquiries and ensuring adherence to HIPAA regulations. Ideal candidates will have over 2 years of relevant experience, be proficient in Microsoft Office, and have excellent communication skills.

Benefits

Health insurance

401k

Paid Time Off

Qualifications

• Minimum of 2+ years of related experience in clearinghouse and/or payer enrollments.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office and Adobe Acrobat.

Responsibilities

• Document all activities per defined processes and procedures.
• Respond to customer issues and process payer enrollment forms.
• Maintain compliance with confidentiality and HIPAA requirements.

Skills

Customer Service Skills

Communication Skills

Medical EDI Experience

Proficient in Microsoft Office

Education

High School diploma or G.E.D.

Associate's Degree

Tools

Microsoft Office suite

Adobe Acrobat

Job description

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Overview: The Enrollment Specialist II position is responsible for the enrollment of Claims Management and Claims Management Pro clients for electronic claim, ERA, and eligibility transactions.

Duties and Responsibilities:

• Document all activities per defined process and procedures.


• Respond to customer issues, perform enrollment status checks, and process payer enrollment forms.


• Resolve all assigned customer issues following all standard operating procedures.


• Use Adobe Acrobat to populate payer enrollment forms.


• Serves as a highly poised, professional, and courteous contact point for people communicating with the Provider Network enrollment department.


• Provides general support to management and department personnel.


• Assists with special projects as needed;


• Other duties as requested and/or determined;

• Maintain compliance with Inovalon's policies, procedures and mission statement;


• Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and


• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.

Job Requirements:

• Minimum of 2+ years of related experience in clearinghouse and/or payer enrollments.


• Proficient in Microsoft Office suite including Outlook, Word, Excel, and PowerPoint.


• Proficient in Adobe Acrobat.


• Excellent verbal and written communication skills.


• Medical EDI Experience.


• Excellent Customer Service Skills.


• Proven ability to work effectively under pressure & meet deadlines.

Education:

• High School diploma or G.E.D. required.


• Associate's Degree preferred.

Physical Demands and Work Environment:

• Sedentary work (i.e., sitting for long periods of time).


• Frequently or constantly to lift, carry push, pull, or otherwise move objects and repetitive motions.


• Subject to inside environmental conditions.


• Travel for this position will include less than 5% locally usually for training purposes.

Inovalon Offers a Competitive Salary and Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That's why Inovalon offers a valuablebenefits packagewith a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range

$19.95—$23.74 USD

If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

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