What are the responsibilities and job description for the Payer Enrollment Specialist position at Monida Healthcare Network?
Key Responsibilities: (this is a partial list)
- Validates up-to-date plan enrollment forms, completes applications, submits and follows up until enrollment is complete. Verifies accuracy and coordinates entry of new and revised provider information into database
- Prepares/reviews group applications based on information provided during acquisitions, Tax ID mergers, etc.
- Validates status of on boarding provider enrollments to ensure target start date is met. Escalates to management when necessary in order to meet desired target start date
- Setup and maintaining CAQH profiles
- Work closely with credentialing team to coordinate enrollment efforts and meet appropriate deadlines as a team
- Assists with tracking and processing of initial application
- Responsible for keeping up to date expirables
- Responsible for the ensuring timely enrollment of new providers with 3rd party and government payers; and maintenance of existing active physicians and advanced practice providers
More remote options available if 30 miles of work location
Minimum Qualifications:
EDUCATION: Associates Degree, or 2 years’ additional relevant experience in lieu of Associates Degree
EXPERIENCE: Minimum of 2 years in payer enrollment, credentialing or other relevant experience. Database management experience strongly desired.
Job Type: Full-time
Pay: From $17.00 per hour
Benefits:
- Employee assistance program
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
Work Location: Hybrid remote in Missoula, MT 59801
Salary : $17
