Job Description:

Job Title: Managed Care Enrollment Specialist I

Location: Springfield, MO (Remote eligibility)

Department: Managed Care

Employment Type: Full-time

Shift: Monday - Friday 8:00 A.M. - 5:00 P.M.

Job Summary:

In this role, you'll have the opportunity to work remotely and make a real difference in the healthcare industry. You'll be responsible for enrolling and revalidating providers with various managed-care payers, including Medicare and Medicaid, ensuring that they are properly credentialed and able to deliver high-quality care to patients. You'll also act as a liaison between external organizations and providers, streamlining communication and simplifying processes wherever possible.

The Managed Care Enrollment Specialist I position offers…

All-Inclusive Employee Benefits Package - A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, 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
Paid Time Off - 29 days per year including vacation & holiday pay
Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities

Compile application documents and submit payer initial enrollment and revalidation applications in various formats
Monitor, compile, and maintain accurate enrollment records for all providers, and communicate updates to internal stakeholders
Create timely and accurate reports for managed care payers, and perform routine auditing of payer records
Ensure payers have the most accurate credentials, services, and practice locations for providers by coordinating appropriate provider data modifications
Act as a liaison for external privileging with other organizations to meet contractual obligations
Maintain department standards while adhering to all required regulations
Take on additional responsibilities as needed

Experience and/or Education Qualifications:

High school diploma, GED or equivalent required.
Experience in healthcare administration utilizing advanced Microsoft Office and excel preferred.
Healthcare Revenue Cycle experience preferred.

Don't miss out on this fantastic opportunity to work from home and make a meaningful impact in the healthcare industry. Apply now to become a Managed Care Enrollment Specialist I and join our mission to improve patient care!

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 expression, 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.

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Managed Care Enrollment Specialist I (Remote)