Enrollment Coordinator

🕒 vor 29 Tagen

🐊 Florida – Remote

infoinfo

💵 $24 - $30 / Stunde

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

🚫👨‍🎓 Kein Abschluss erforderlich

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Marathon Health

Marathon Health

1001 - 5000 Mitarbeiter

Gegründet 2005

💼 Beratung

📦 Logistik

🛡️ Versicherung

💰 Private Equity Round - Marathon Health im 2019-10

Consulting • Logistics • Insurance

Marathon Health ist ein Unternehmen im Bereich Gesundheitsdienstleistungen, das personalisierte, arbeitgeberorientierte Lösungen für fortschrittliche Primär- und Arbeitsmedizin anbietet. Sie betreiben Gesundheitszentren am Standort, in der Nähe und im Netzwerk sowie virtuelle Primär- und Verhaltensgesundheitsdienste und bieten Bevölkerungsmanagement, Medikamentenmanagement und Lifestyle-Coaching an, um Ergebnisse zu verbessern und die Gesundheitskosten der Arbeitgeber zu senken. Marathon Health arbeitet mit Arbeitgebern, Gewerkschaften und Gesundheitsplänen zusammen, um Pflegemodelle anzupassen, die das Engagement erhöhen, die Inanspruchnahme von Notaufnahmen und stationären Leistungen reduzieren und einen messbaren ROI liefern.

Beschreibung

• Work with commercial payers to enroll providers with client insurance plans • Assist providers in completing enrollment applications for commercial payers • Act as a liaison between health plans and the organization to resolve enrollment inquiries and other issues • Update provider and payer credentialing tables in Athena • Understand provider-related billing processes and procedures for commercial payers • Participate in the development of internal enrollment processes • Provide frequent status updates to the Revenue Cycle Team and Operations Leaders regarding enrollment progress through completion • Partner with Provider Services, Revenue Cycle Management, and Field Operations teammates

🎯 Anforderungen

• High School diploma • Minimum of 2 years of medical credentialing experience • Prior professional experience working with personal information and maintaining patient confidentiality • 2 years of experience working with electronic medical record software Athena is strongly preferred • Prior credentialing and database experience is preferred • Strong attention to detail with a focus on accuracy and quality control • Highly organized with the ability to track and manage multiple enrollments simultaneously • Strong time-management skills with the ability to prioritize and multitask effectively • Self-motivated and results-oriented with a high level of ownership and accountability • Persistent and proactive in following up with payers through completion • Adaptable and eager to learn in a changing environment with evolving payer requirements • Analytical mindset with strong math and problem-solving skills to support reporting and identify enrollment gaps impacting claims • Proficient with computer software, databases, EMRs, and tracking tools • Experience supporting and monitoring CAQH profiles, including initial setup, attestations, re-attestations, and issue resolution • Excellent written, verbal, and interpersonal communication skills • Provider-focused, patient, and service-oriented • Collaborative team player who partners effectively with revenue cycle teammates, credentialing, and provider teams • Comfortable working in a fast-paced, high-volume environment • Demonstrates integrity and discretion when handling confidential medical and provider information • Demonstrates flexibility and willingness to support team priorities beyond core responsibilities as needed

🏖️ Vorteile

• Great Place to Work® certified inclusive, high-trust culture • Value-based healthcare model supporting members and providers

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