Payer Enrollment - Account Specialist
symplr
This job is no longer accepting applications
See open jobs at symplr.See open jobs similar to "Payer Enrollment - Account Specialist" Francisco Partners.Payer Enrollment - Account Specialist
- ID
- 2024-1572
- Category
- Credentialing
- Position Type
- Regular Full-Time
Overview
***MUST have experience enrolling providers into payer plans, commercial, Federal and State plans.
The PES (Payer Enrollment) Account Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider's office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled. Also, responsible for advising the provider's office concerning best practices and procedures pertaining to enrollment. This is a remote opportunity.
Duties & Responsibilities
- Communicate & advise the provider or designated contact person of the paperwork necessary to begin the enrollment process for new providers, explaining timeline expectations
- Research payer requirements to gather all details to appropriately enroll provider
- Maintain contact with designated contact person to obtain application signatures and collect all required documents to include with the completed applications
- Key all provider demographics & enrollment data into software system
- Scan all related enrollment documents and applications into software system
- Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued
- Prepare & distribute Payor Affiliation Reports and Status Notes to designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers
- Ability to interact positively in a team environment, demonstrating superior teamwork skills
- Interacts professionally with Symplr staff and occasional interaction with outside organizations
- Verbal and communication skills are required to resolve issues
- Other duties as assigned
Skills Required
- Ability to interact positively in a team environment, demonstrating superior teamwork and leadership skills
- Superior attention to detail and organizational skills
- Excellent time management skills, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment
- Ability to effectively interface and communicate, both written and verbal, with all levels inside and outside the company
- Ability to manage assigned projects individually, without supervision, and make independent decisions
- Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details
- Consistently meets project deadlines and communicates any projected delays with manager/director in advance of deadlines to ensure client needs are met
- Proficiency with credentialing systems and learns new systems/processes quickly
Qualifications:
Every organization has a culture, whether they mean to or not, so why not be intentional about it?
Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.
- Bachelor's degree desired
- 2+ years in directly applicable experience in Payor/Provider Enrollment or Credentialing required
- Experience with Microsoft Office Suite including Word, PowerPoint, and Excel
- Healthcare industry background is a plus
Min
Max
Options
The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.
Legal authorization to work in the U.S. is required. We will not sponsor individuals for employment visas, now or in the future, for this opening.
About symplr:
As a leader in healthcare operations solutions, we empower healthcare organizations to navigate the complexities of integrating critical business operations. Our customers are at the heart of everything we do, and they rely on our mission-critical systems to drive better operations and better outcomes.
We are a remote-first company with employees working across the United States, India, and the Netherlands. Guided by values, we focus on teamwork, championing our customers, being rooted in action and outcomes, overcoming challenges, and leading through equality and integrity. Read more about symplr's culture and values at symplr.com/careers.
Perks & Benefits:
- Company Sponsored Medical, Dental & Vision
- Safe Harbor 401K with Employer Matching up to 5%, eligible upon hire with immediate vesting
- HSA Employer Contributions, Employer Paid Life, Short-term and Long-term Disability, and AD&D Insurance Plans
- Permissive Time Off Plans, Volunteer Time Off, & 12 Paid Holidays
- Fully Paid Medical Leaves of Absence and Bonding Leaves for new parents
- Tuition Assistance & Continuing Education Reimbursement available
- Additional Employer-Paid Programs: Cleo Family Services, Care@Work Memberships, Headspace Memberships, LifeMart Discounts, and more!
symplr is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.
As an ongoing commitment to reasonably accommodate individuals with disabilities, symplr has established alternative methods to complete the application process. Disabled applicants needing assistance are encouraged to call 281.863.9500 if further assistance is required.
To all recruitment agencies: we do not accept resumes or partnership opportunities. Please do not forward resumes to symplr or any of our employees. We are not responsible for any fees related to unsolicited resumes.
Software Powered by iCIMS
www.icims.com
This job is no longer accepting applications
See open jobs at symplr.See open jobs similar to "Payer Enrollment - Account Specialist" Francisco Partners.