What are the responsibilities and job description for the Managed Care Enrollment Specialist (Remote) position at Burrell Preferred Inc.?
Job Description:
Location: Remote / WFH (Work from Home)
Department: Managed Care
Employment Type: Full-time
- **All-Inclusive Employee Benefits Package** - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, generous paid time off, and more
- **Telemedicine** – 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
- **Employee Assistance Program** – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
- **Career Advancement & Wage Growth** - Grow in your career with great opportunities for upward mobility and added income
- **Comprehensive Training** - Learn and develop skills with our robust on-the-job training
- **Workplace Culture** - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement
- **Remote Work Opportunity** - Enjoy the flexibility and comfort of working from home
- Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
- Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.
- Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
- Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
- Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.
- Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.
- High school diploma, GED, or equivalent required.
- Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.
- Healthcare Revenue Cycle experience preferred.
- Excellent customer service, time management, and communication skills (oral and written).
- Excellent organization skills and attention to detail.
- Analytical skills and the ability to research industry topics and policies, translating information into actionable items.
- Ability to multitask on various projects while meeting different deadlines.
- Remote work environment, with minimal physical demands.
Position Perks & Benefits:
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission:
A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.
As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.
We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expressions, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.
Brightli is a Smoke and Tobacco Free Workplace.
