Pre-Enrollment Specialist - Insurance - Healthcare - Remote

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April 26

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Plexus Ventures LLC

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B2B • Enterprise • Fintech

Plexus Ventures LLC is a company focused on inviting partnerships to shape future innovations and development. They actively engage with potential partners and encourage inquiries for collaboration.

2 - 10 employees

🤝 B2B

🏢 Enterprise

💳 Fintech

📋 Description

• HealthXL provides virtual patient care services under the guidelines of Medicare's Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. • The Pre-enrollment Specialist (PES) position requires the ability to prioritize work and easily move between pre-enrollment activities. • The PES initiates outbound phone calls to insurance companies to verify coverage and eligibility for RPM/CCM, updates and maintains the insurance database. • A successful PES will exhibit excellent time management and communication skills. • Full and part-time remote positions available. • Maintains a thorough, up-to-date understanding of program (CCM/RPM) eligibility requirements. • Updates and maintains insurance database with verified, accurate coverages. • Initiates outbound calls to insurance providers to verify coverages not in the database. • Accesses multiple EMR platforms to verify patient eligibility for CCM/RPM. • Maintains accurate time keeping in ADP. • Understands and follows all applicable regulatory guidelines. • Adheres to company policies including Attendance and PTO. • Willingness to cross train in support of multiple Enrollment Services functions. • Attends scheduled meetings and trainings and participates as requested.

🎯 Requirements

• Familiar with insurance plans/verification processes in clinic setting • Training/experience with coding/billing helpful • Dependable, self-directed, ability to prioritize tasks, solid time management skills • Superior verbal communicator, remains positive and demonstrates empathy • Demonstrated ability to provide accurate, thorough documentation • Ability to quickly learn and navigate multiple computer platforms • Experience working in EMRs preferred • Comfortable with Excel spreadsheet data entry • Fluent communicating in English, additional language proficiency a plus • HIPAA compliant workspace • High speed Internet connection