Jobs
>
Phoenix

    Payor Enrollment - Phoenix, United States - symplr

    symplr
    symplr Phoenix, United States

    3 weeks ago

    Default job background
    Description
    This job was posted by : For more information, please see: Overview


    The PES Account Specialist is responsible for provider enrollment into Federal, State, and commercial health plans, correspondence with provider\'s office, gathering of provider data needed for enrollment, completion of provider applications and follow-up with health plans until provider is fully enrolled.

    Also, responsible for advising the provider\'s office concerning best practices and procedures pertaining to enrollment. This is a remote opportunity.

    Duties & Responsibilities

    Communicate & advise the provider or designated contact person of the paperwork necessary to begin the enrollment process for new providers, explaining timeline expectations
    Research payer requirements to gather all details to appropriately enroll provider
    Maintain contact with designated contact person to obtain application signatures and collect all required documents to include with the completed applications
    Key all provider demographics & enrollment data into software system
    Scan all related enrollment documents and applications into software system
    Contact health plans to request provider enrollment application packages and/or required action for enrollment and continue follow-up with insurance plans by telephone or email until all provider numbers are issued
    Prepare & distribute Payor Affiliation Reports and Status Notes to designated contact person(s) for each provider every 2-3 weeks in order to communicate the progress of approved provider numbers
    Ability to interact positively in a team environment, demonstrating superior teamwork skills
    Interacts professionally with Symplr staff and occasional interaction with outside organizations
    Verbal and communication skills are required to resolve issues
    Other duties as assigned

    Skills Required

    Ability to interact positively in a team environment, demonstrating superior teamwork and leadership skills
    Superior attention to detail and organizational skills
    Excellent time management skills, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment
    Ability to effectively interface and communicate, both written and verbal, with all levels inside and outside the company
    Ability to manage assigned projects individually, without supervision, and make independent decisions
    Consistently demonstrates flexibility, a customer-focus, terrific organizational skills and a passion for details
    Consistently meets project deadlines and communicates any projected delays with manager/director in advance of deadlines to ensure client needs are met
    Proficiency with credentialing systems and learns new systems/processes quickly


    Qualifications:
    Every organization has a culture, whether they mean to or not, so why not be intentional about it?


    Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships.

    Bachelor\'s degree desired
    2+ years in directly applicable experience in Payor/Provider Enrollment or Credentialing required
    Experience with Microsoft Office Suite including Word, PowerPoint, and Excel
    Healthcare industry background is a plus

    Min

    USD \$20.00/Hr.

    Max

    USD \$24.00/Hr.
  • Centauri Health Solutions

    Out of State Billing

    3 weeks ago

    Centauri Health Solutions Phoenix, United States

    **Role Summary**: · The Accounts Receivables Specialist will provide professional-level Accounts Receivable support, including responsibilities in the following functional areas: posting and processing payments, processing refunds, month-end, invoice correction, past-due accounts ...

  • Native American Connections

    Billing Coder

    3 days ago

    Native American Connections Phoenix, United States

    **This position is not remote** · ***: · Under the direct supervision the Billing Manager, the Medical Coder should understand NAC policies and all funding sources and contracts. The Coder reviews the physicians and clinician documentation for accuracy of claims submissions. Code ...

  • Suvida Healthcare

    Guia Manager

    1 week ago

    Suvida Healthcare Phoenix, United States

    **Who We Are** · - _ · At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a mea ...

  • Centauri Health Solutions

    Provider Enrollment Specialist

    5 days ago

    Centauri Health Solutions Phoenix, United States

    Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...

  • Centauri Health Solutions

    Provider Enrollment Specialist

    1 week ago

    Centauri Health Solutions Phoenix, United States

    Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...

  • Soleo Health Inc

    Clearance Specialist

    1 week ago

    Soleo Health Inc Tempe, United States

    : · Soleo Health is seeking a **Clearance Specialist/Intake Coordinator **to support our **Phoenix, AZ,** Specialty Pharmacy.** This is an in-person role.** Join us in Simplifying Complex Care · **Acute Home Infusion experience required.** · **Soleo Health Perks**: · - Competitiv ...

  • Arkos Health

    Member Outreach Specialist

    3 weeks ago

    Arkos Health Gilbert, United States

    **Our Organization**: · Welcome to Arkos Health We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative softwar ...

  • Arkos Health

    Rn Care Manager

    1 week ago

    Arkos Health Gilbert, United States

    **Our Organization**: · Welcome to Arkos Health We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative softwar ...

  • Arkos Health

    Rn Care Manager

    2 weeks ago

    Arkos Health Gilbert, United States

    **FIELD BASED - visits are conducted in various settings, including patients homes as well as hospitals and other medical facilities.** · **The coverage area for this position is North Phoenix/Surprise area.** · **Our Organization**: · Welcome to Arkos Health We are a value-based ...

  • Centauri Health Solutions

    Out of State Billing

    1 week ago

    Centauri Health Solutions Phoenix, United States

    Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...

  • Centauri Health Solutions

    Out of State Billing

    5 days ago

    Centauri Health Solutions Phoenix, United States

    Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...

  • U.S. Dermatology Partners

    Dermatologist

    3 weeks ago

    U.S. Dermatology Partners Phoenix, United States Full time

    U.S. Dermatology Partners is seeking an exceptional Board-Certified or Board-Eligible Dermatologist to join our premier dermatology practice in Phoenix, ArizonaIf you enjoy providing comprehensive dermatologic care including medical & surgical dermatology, dermatologic oncology, ...

  • Verona Pharma plc

    Field Reimbursement Manager, West

    3 weeks ago

    Verona Pharma plc Phoenix, United States

    Field Reimbursement Manager, West (Los Angeles, CA/Phoenix, AZ/Denver, CO) · The Company: · Our mission is to improve the health and quality of life for the millions of people affected by chronic respiratory diseases. We do this principallythrough the development of our first-i ...

  • U.S. Dermatology Partners

    Dermatologist

    2 weeks ago

    U.S. Dermatology Partners Phoenix, United States

    U.S. Dermatology Partners is seeking an exceptional Board-Certified or Board-Eligible Dermatologist to join our premier dermatology practice in Phoenix, Arizona · If you enjoy providing comprehensive dermatologic care including medical & surgical dermatology, dermatologic oncolo ...

  • Blue Cross Blue Shield of Arizona

    Execution Manager

    1 week ago

    Blue Cross Blue Shield of Arizona Phoenix, United States Full time

    Job Description · Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and ...

  • Kyo, LLC

    Program Supervisor

    1 week ago

    Kyo, LLC Phoenix, United States

    Kyo is a leading provider of Applied Behavior Analysis (ABA), an evidence-based therapy for individuals with autism. Kyo serves thousands of children and teens across nine states. Every day, we seek to achieve the unachievable for our clients. · Our rapidly growing team of clini ...

  • Kyo, LLC

    Program Supervisor

    1 week ago

    Kyo, LLC Phoenix, United States

    Kyo is a leading provider of Applied Behavior Analysis (ABA), an evidence-based therapy for individuals with autism. Kyo serves thousands of children and teens across nine states. Every day, we seek to achieve the unachievable for our clients. · Our rapidly growing team of clini ...

  • Kyo, LLC

    Program Supervisor

    1 week ago

    Kyo, LLC Phoenix, United States

    Kyo is a leading provider of Applied Behavior Analysis (ABA), an evidence-based therapy for individuals with autism. Kyo serves thousands of children and teens across nine states. Every day, we seek to achieve the unachievable for our clients. · Our rapidly growing team of clini ...

  • Arkos Health

    Rn/lpn Care Manager

    2 days ago

    Arkos Health Gilbert, United States

    **FIELD BASED - visits are conducted in various settings, including patient's homes as well as hospitals and other medical facilities.** · **The coverage area for this position is Glendale, AZ.** · **Our Organization**: · Welcome to Arkos Health We are a value-based healthcare co ...

  • Arkos Health

    Rn/lpn Care Manager

    1 week ago

    Arkos Health Gilbert, United States

    **FIELD BASED - visits are conducted in various settings, including patients homes as well as hospitals and other medical facilities.** · **The coverage area for this position is Cave Creek/North Phoenix, AZ area.** · **Our Organization**: · Welcome to Arkos Health We are a value ...