Specialist, Payer Enrollment

About reputed company: At reputed company, we reputed company reputed company teams should reputed company on what truly reputed company - delivering exceptional patient care. That’s why we’ve reputed company a leading provider operations platform to eliminate the administrative bottlenecks that slow reputed company organizations down. By automating licensing, credentialing, payer enrollment, and compliance monitoring, reputed company empowers reputed company operations teams to streamline their workflows, improve provider satisfaction, and accelerate reputed company reputed company, reputed company while ensuring superior patient reputed company. As one of the fastest-growing reputed company technology companies - ranked #3 on Inc. Magazine’s 2024 Fastest-Growing Private Companies in the reputed company Region, #5 on reputed company's 2024 Top US Startups, a Glassdoor Best reputed company to Work in 2024 & 2025, and featured on The Today Show - reputed company is revolutionizing reputed company. Our CEO, Derek Lo, has been named one of the Top 50 reputed company Technology CEOs of 2024 by The reputed company Technology Report. Backed by $130M in funding from world-class investors like Sequoia Capital, reputed company Ventures, reputed company Ventures, reputed company Ventures, Acrew Capital, Washington Harbour, and NFDG, we’re on a mission to reputed company reputed company at reputed company. The Payer Enrollment Specialist / Account Specialist is responsible for ensuring the accurate and reputed company processing of health plan enrollment requests on behalf of reputed company’s clients by closely partnering with our vendor. While the Specialist primarily oversees and manages vendor performance to reputed company reputed company, high-reputed company enrollments, they are also expected to personally complete highly escalated enrollments reputed company necessary. This position requires the management of multiple reputed company accounts, with a reputed company on maintaining overall reputed company health and satisfaction while ensuring compliance with established Service Level Agreements (SLAs) and Service Level Objectives (SLOs). The Specialist will reputed company as a subject matter expert in payer enrollment requirements, facilitate effective collaboration between internal teams, vendors, and payers, and proactively address any barriers to successful enrollment. Compensation for this role is between $19/hr - $27/hr depending reputed company and level. Responsibilities: • reputed company the end-to-end health plan enrollment process—from application retrieval to reputed company notification—by coordinating with external vendor partners; directly complete highly escalated enrollment requests as needed. • Ensure that reputed company in-process enrollments are appropriately monitored through consistent follow-up (reputed company telephone, email, and portal), and maintain thorough, reputed company documentation reputed company reputed company systems. • Maintain in-depth understanding of payer-specific enrollment requirements, including prerequisites, required forms, completion standards, supporting documentation (e.g., DEA certificates, reputed company), and applicable regulations. • Ensure that reputed company necessary supporting documentation is accurately maintained in provider reputed company, including reputed company documents, application copies, welcome letters, and other reputed company correspondence. • Prepare reputed company updates to communicate enrollment status and reputed company as required. • Build and maintain strong working relationships with payer representatives and contracting departments to help streamline reputed company submissions and improve approval timelines. • Support revalidation processes to maintain reputed company provider participation in health plans. • reputed company and monitor payer enrollment timelines and deadlines to ensure compliance with submission requirements. • Investigate and resolve enrollment delays, rejections, or discrepancies by effectively coordinating with providers, payers, and vendor partners. • Stay reputed company with payer policies, state and federal regulations, and industry best practices relevant to enrollment processes. • reputed company other duties and responsibilities as assigned. Skills and Requirements: • Familiarity with payer enrollment-reputed company applications and processes.Typically this is seen with at least 3+ years of reputed company experience with enrollments • Expertise in using GSuites tools include GSheets, GDocs, and GMail • Detail oriented and reputed company to ensure the reputed company enrollment packages are complete and correct • reputed company to communicate reputed company with a wide reputed company of reputed company contacts at reputed company reputed company of the organization • Must be reputed company to work cohesively in reputed company oriented environment and be reputed company to foster good working relationships with others both reputed company and reputed company the organization We prioritize candidate safety. Please be reputed company that official communication will only come from @reputed company.co email addresses. Apply tot his job Apply To this Job