Provider Enrollment Specialist (Fully Remote)

Ventra; Stati Uniti; Remoto; USD 52.000 - 70.000; Tempo pieno

Vantaggi offerti da questo lavoro

Discretionary bonus

Diversity & inclusion

Descrizione del lavoro

Ventra, a leading Revenue Cycle Management partner for physician groups and hospitals, is hiring for a payer enrollment role in the United States. You will follow up with markets and CMS to resolve enrollment issues, manage payer applications, and maintain documentation for enrollments in process.

The position emphasizes CMS/HIPAA policy knowledge, 1+ year of enrollment experience, and a degree-based qualification track. A discretionary bonus is offered within a diverse, inclusive workplace.

Competenze

• Associate's degree required; Bachelor's preferred.
• At least 1 year of provider enrollment experience preferred.
• Knowledge of CMS and HIPAA policies.

Mansioni

• Perform follow-up with market locations and CMS to resolve payer enrollment issues.
• Manage and submit payer applications for Medicare, Medicaid, and third-party payers.
• Maintain documentation and reporting for enrollments in process.

Conoscenze

Provider enrollment experience

CMS policies

HIPAA policies

Formazione

Associate's degree

Bachelor's degree

Descrizione del lavoro

• Perform follow-up with market locations and CMS to resolve payer enrollment issues.
• Manage and submit payer applications for Medicare, Medicaid, and third-party payers.
• Maintain documentation and reporting for enrollments in process.

Qualifications:

• Associate's degree required; Bachelor's preferred.
• At least one year of provider enrollment experience preferred.
• Knowledge of CMS and HIPAA policies.

Compensation and Culture:

• Base compensation varies by location, skills, and experience.
• Eligible for discretionary incentive bonus.
• Equal opportunity employer committed to diversity and inclusion.

Ventra

Ventra is a leading business solutions provider for facility-based physicians, focusing on Revenue Cycle Management. They partner with private practices and hospitals to deliver data-driven solutions, fostering a collaborative culture with a performance-based incentive plan.