Enrollment Coordinator

🕒 il y a 29 jours

🐊 Florida – Distant

infoinfo

💵 $24 - $30 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Marathon Health

Marathon Health

1001 - 5000 employés

Fondée en 2005

💼 Conseil

📦 Logistique

🛡️ Assurance

💰 Private Equity Round - Marathon Health en 2019-10

Consulting • Logistics • Insurance

Marathon Health est une entreprise de services de santé qui propose des solutions de soins primaires avancés et de santé au travail personnalisées, axées sur les employeurs. Elle exploite des centres de santé sur site et à proximité, des centres de santé en réseau, ainsi que des services de soins primaires virtuels et de santé comportementale. Elle offre également la gestion de la santé des populations, la gestion des médicaments et du coaching de style de vie pour améliorer les résultats et réduire les coûts de santé pour les employeurs. Marathon Health s'associe avec des employeurs, des syndicats et des régimes de santé pour adapter des modèles de soins qui augmentent l'engagement, réduisent l'utilisation des urgences et des soins hospitaliers, et génèrent un retour sur investissement mesurable.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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

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