Payer & Provider Enrollment Specialist
Privia Health, Myrtle Point, Oregon, United States, 97458
Employer Industry: Healthcare Technology
Why consider this job opportunity
Salary up to $55,000.00
Eligible for an annual bonus targeted at 10%
Comprehensive benefits package including medical, dental, vision, life, and pet insurance, 401K, and paid time off
Opportunity to work in a technology-driven environment that enhances patient experiences
Collaborative work culture with a focus on diversity and inclusion
Flexible remote work options available
What to Expect (Job Responsibilities)
Manage the payer enrollment process for new groups and providers in the Florida market
Maintain and manage payer data in CredentialStream for both groups and individual providers
Investigate claims and enrollment-related issues with care centers
Resolve inbound claims inquiries using athenaNet EMR
Act as a liaison between the Enrollment Department and internal and external stakeholders
What is Required (Qualifications)
3+ years of experience in a payer enrollment function
Medicare/Medicaid payer experience required
Advanced Microsoft Excel skills
Ability to function independently and manage multiple projects
Compliance with HIPAA rules and regulations
How to Stand Out (Preferred Qualifications)
Experience with Verity CredentialStream or other credentialing systems
Familiarity with athena EMR
Demonstrated skills in problem-solving and analysis
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
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Why consider this job opportunity
Salary up to $55,000.00
Eligible for an annual bonus targeted at 10%
Comprehensive benefits package including medical, dental, vision, life, and pet insurance, 401K, and paid time off
Opportunity to work in a technology-driven environment that enhances patient experiences
Collaborative work culture with a focus on diversity and inclusion
Flexible remote work options available
What to Expect (Job Responsibilities)
Manage the payer enrollment process for new groups and providers in the Florida market
Maintain and manage payer data in CredentialStream for both groups and individual providers
Investigate claims and enrollment-related issues with care centers
Resolve inbound claims inquiries using athenaNet EMR
Act as a liaison between the Enrollment Department and internal and external stakeholders
What is Required (Qualifications)
3+ years of experience in a payer enrollment function
Medicare/Medicaid payer experience required
Advanced Microsoft Excel skills
Ability to function independently and manage multiple projects
Compliance with HIPAA rules and regulations
How to Stand Out (Preferred Qualifications)
Experience with Verity CredentialStream or other credentialing systems
Familiarity with athena EMR
Demonstrated skills in problem-solving and analysis
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
#J-18808-Ljbffr