Insurance Enrollment Specialist

Role Overview

• Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re-enrollment process.
• Helps resolve issues to ensure that revenue is not negatively impacted.
• Maintains an expanded knowledge and thorough understanding of the IntelliApp database and reporting options to maximize efficiencies in day-to-day operations.
• Creates customized reports for insurance enrollment purposes.
• Maximizes workflow efficiencies for newly introduced applications and updates enrollment application fields.
• Populates tracking spreadsheets to maintain the most current information as it relates to new providers/practices.
• Recognizes opportunities for system set-up adds, modifications, and deletes that will improve processes and communication.
• Submits, updates, and maintains information utilizing multiple databases for payer/provider enrollment purposes.
• Cultivates relationships with contract payer representatives to help anticipate changes in enrollment and re-enrollment.

Requirements

• High School Diploma/GED
• 5 years experience in Billing, health insurance, physician practice, or equivalent operations environment.
• Effective prioritization of tasks to meet deadlines.
• Knowledge and thorough understanding of the revenue cycle process.
• Strong computer literacy skills.

Benefits

• Health insurance
• Flexible work arrangements