Payer Enrollment Specialist, Contractor

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Requirements:

• 3+ years experience with payer enrollment related applications and processes, including Medicaid and Commercial payers.
• Experience in outpatient group contracting is a plus.
• Expertise in using Google Suite tools (Sheets, Docs, Gmail).
• Excellent time management and organizational skills.
• Ability to thrive in busy work environments, working independently and collaboratively.
• Detail-oriented and capable of ensuring complex enrollment packages are complete and correct.
• Takes initiative with projects, breaking them down into actionable steps.
• Strong communication skills with the ability to interact with various internal and external contacts.
• Strong interpersonal skills with an ability to foster good working relationships.
• Dedication to the mission of being the trusted mental health partner to schools.

Responsibilities:

• Research insurance provider enrollment requirements by state and understand specific application requirements for each payer.
• Prepare and submit complete health plan enrollment requests from application retrieval to notifying clients upon request completion.
• Follow up on provider enrollment applications with providers and insurance companies via telephone, email, and online portals.
• Interact with providers to gather information for applications and payer requests.
• Update and maintain Payor and Provider Enrollment Trackers.
• Maintain organized document copies and files accessible to internal stakeholders.
• Establish working relationships with payer representatives to streamline submissions.
• Enter group/individual data into the credentialing system.
• Prepare special reports and summaries as required.
• Perform other duties as assigned.