Provider Enrollment Specialist

Job not on LinkedIn

🔥 39 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EnableComp

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Venture Round on 2022-07

Consulting • Insurance • Logistics

EnableComp is a company that specializes in revenue cycle management (RCM) for healthcare providers and health systems across the United States. They focus on processing complex claims related to Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid, as well as denial management for all payer classes. By leveraging intelligent automation and their proprietary E360 RCM™ platform, EnableComp helps healthcare providers increase revenue, control costs, and streamline billing processes. With expertise in handling complex claims, the company ensures accurate and timely reimbursement, providing significant uplift to collections and improving the financial performance of its clients.

📋 Description

• Collect, verify, and submit information for enrollment of hospitals and physicians with Out-of-State Medicaid payers • Develop and maintain state-specific policies and procedures for new hospital and physician enrollments • Maintain knowledge of hospital and physician Out-of-State Medicaid enrollment requirements and regulations • Share education and communication with internal team members, including the Vice President and Senior Vice President of Operations • Submit re-enrollment applications promptly to keep hospitals and physicians current • Review Out-of-State Medicaid requirements for accuracy and compliance with government rules and regulations • Manage work queues and deadlines for payer-specific forms and documents, including license updates, deficiency notifications, and approval letters • Maintain provider files and document provider changes, corrections, and terminations in the database • Handle patient health information and maintain privacy and security of confidential and proprietary information

🎯 Requirements

• High School Diploma or GED required • Associates or Bachelor’s Degree preferred • 1+ years’ experience in healthcare field working in billing or collections • 1+ years’ client facing/customer services experience • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements • Thorough understanding of enrollment requirements and documents needed for accurate application completion • Knowledge of general credentials and licenses preferred but not required, including hospital license, CLIA, DEA, NPI, and board certifications • Equivalent combination of education and experience will be considered • Strong computer proficiency and basic office applications, including MS Office (Word, Excel, and Outlook) • Regular and predictable attendance • Ability to perform each essential duty satisfactorily • Ability to meet and/or exceed productivity targets and goals • Ability to maintain stable performance under pressure or opposition • Ability to work independently without direct supervision • Proven written and verbal communication skills • Strong analytical and problem-solving skills • Proven experience working with external clients; strong customer service skills and business acumen • Ability to prioritize and manage multiple competing priorities and projects concurrently • Must be able to remain in a stationary position 50% of the time • Ability to operate a computer and office equipment

🏖️ Benefits

• Full-time employment • Professional growth and development opportunities • Tools, resources, and support for career growth • Flexible work environment • Work-life balance support • Family-oriented culture • Employee cooperation and shared goals