Job Description:
Job Title:Managed Care Enrollment Specialist I
Location:Remote / WFH (Work from Home)
Employment Type:Full-time
Job Summary:
Are you passionate about delivering exceptional customer service and making a meaningful impactinthe healthcare industry? Do you have exceptional organizational skills,strong communicationabilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care EnrollmentSpecialist I!
As a Managed Care EnrollmentSpecialist I,you'llhave the opportunity to work remotely and make a real difference in the lives of patients and providers.You'llbe responsible forenrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care.
We'relooking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency. Ifyou'rea team player with excellent communication skills and a strong work ethic, we encourage you to apply!
Workplace Culture- An environment cultivating employee wellbeing, valuingeach individual'shumanity, and actively promoting a healthy, joyful workforce.
Key Responsibilities:
Compile andsubmitpayer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
Monitor, compile, andmaintainaccurateenrollment records for all providers, communicating updates to internal stakeholders ina timelyand professional manner.
Createtimelyandaccuratereports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
Coordinate with providers to ensureaccuratecredentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
Act as a liaison for externalprivilegingwith other organizations, meeting contractual obligations and ensuring seamless collaboration.
Maintaindepartment standards while adhering to all required regulations,demonstratinga strong commitment to quality and compliance.
Education, Experience, and/or Credential Qualifications:
High school diploma, GED, or equivalent required.
Experience in healthcare administrationutilizingadvanced Microsoft Office and Excel preferred.
Healthcare Revenue Cycle experience preferred.
Additional Qualifications:
Excellent customer service, time management, and communication skills (oral and written).
Excellent organization skills and attention to detail.
Analytical skills and the ability to research industry topics and policies, translating information into actionable items.
Ability to multitask on various projects while meeting different deadlines.
Physical Requirements:
Remote work environment, with minimal physical demands.
Keywords: Managed Care, Enrollment, Healthcare Administration, Customer Service, Remote Work, Credentialing, Compliance, Microsoft Office, Revenue Cycle, Training
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Employment Opportunity Employer.
Brightli is a Smoke and Tobacco Free Workplace.