Enrollment Specialist

🕒 September 19

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 3%

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Beth Israel Lahey Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Beth Israel Lahey Health is a comprehensive healthcare system providing a wide range of medical services and care options to communities in Massachusetts and New Hampshire. With a network of 14 hospitals, including community hospitals and specialized centers for orthopedic and behavioral health care, they offer personalized care for all health needs. Their services include emergency care, primary care, urgent care, pharmacy services, home care, and more. Dedicated to improving community health and well-being, Beth Israel Lahey Health is committed to research, education, and providing extraordinary care through its 39,000 team members.

📋 Description

• Complete the government payer enrollment process for new individual providers and groups/locations • Obtain information needed for government payer applications from providers and existing organizational records • Complete maintenance updates and re-verification/re-validation for providers and groups/locations • Maintain provider and group/location data, including name, office location, demographic, group, and TIN changes • Populate and update internal and external databases reflecting government payer participation and related data • Submit enrollment applications to appropriate state Medicare/Medicaid programs before Credentials Committee meetings or applicant approvals • Submit enrollment applications before opening or acquiring groups/locations • Collaborate with the multidisciplinary onboarding group and practitioners to complete application processes

🎯 Requirements

• Bachelor's Degree or equivalent education and experience • Minimum of 2-3 years experience in non-commercial payer enrollment • Provider enrollment technical proficiency • Effective and professional communication skills • CPCS or PESC Certification preferred but not required • Ability to complete government payer enrollment, maintenance, and re-verification processes within established timeframes • Knowledge of non-commercial payer enrollment obligations at the State and Federal level

🏖️ Benefits

• Influenza vaccination required as a condition of employment • Additional pay may include shift differentials, call pay, premium pay, and overtime pay, as applicable • Hybrid/remote schedule

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