Managed Care Enrollment Specialist

Job not on LinkedIn

🔥 3 hours ago

🌪️ Oklahoma, Missouri – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 11%

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Logo of Burrell Behavioral Health

Burrell Behavioral Health

1001 - 5000 employees

Founded 1977

🏥 Healthcare

🌍 Social Impact

Healthcare • Social Impact

Burrell Behavioral Health is the second-largest behavioral health center in Missouri, dedicated to creating access points for care in mental health. The organization serves over 40,000 clients across 18 counties, providing a full continuum of care through its network of more than 400 licensed providers. Their services include individual therapy and counseling, recovery services, psychiatric and medication management, crisis intervention, telehealth services, and support for developmental disabilities, among others. Burrell is committed to advancing, expanding, and improving behavioral health in its communities.

📋 Description

• Compile and submit payer initial enrollment and revalidation applications in various formats • Monitor, compile, and maintain accurate enrollment records for all providers • Communicate enrollment updates to internal stakeholders in a timely and professional manner • Create accurate reports for managed care payers • Perform routine audits of payer records for compliance and accuracy • Coordinate with providers to verify credentials, services, and practice locations • Act as a liaison for external privileging with other organizations • Meet contractual obligations and support seamless collaboration • Maintain department standards and adhere to required regulations

🎯 Requirements

• High school diploma, GED, or equivalent required • Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred • Healthcare Revenue Cycle experience preferred • Excellent oral and written customer service and communication skills • Excellent organizational skills and attention to detail • Analytical skills and ability to research industry topics and policies and translate information into actionable items • Ability to multitask on various projects while meeting different deadlines • Remote work environment with minimal physical demands

🏖️ Benefits

• All-inclusive full-time employee benefits package including health, dental, vision, retirement, disability, life insurance, wellness program, and generous paid time off • Telemedicine with 24/7 medical, behavioral health, and dermatology visits • Employee Assistance Program with 24/7 counseling, legal assistance, and financial consultation • Career advancement and wage growth opportunities • Comprehensive initial, ongoing, and on-the-job training • Remote work opportunity and work-from-home flexibility • Supportive workplace culture promoting employee wellbeing and healthy workforce engagement • Career mobility and promotion-from-within opportunities • Smoke- and tobacco-free workplace

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