Healogics is seeking a Full-Time Payroll Enrollment Specialist in Jacksonville, FL
The Enrollment Specialist oversees the process to enroll groups and providers with insurance payers. This role is responsible for ensuring that all group and provider information is accurate and maintained with all insurance payers and databases to ensure that payments are received.
Essential Duties and Responsibilities:
Coordinate Provider on-boarding related to payer enrollment Communicate payer turn-around times to the Credentialing Manager Group and provider payer enrolment credentialing and re-credentialing Complete group and provider applications, and obtain signatures Troubleshoot and resolve payer issues related to enrolment/credentialing Alert payers of terminated providers Review first collection report with new PDs Maintain group and provider demographics on various databases that insurance carriers access for enrolment and payment Maintain Insurance payer Grid by Group and provider and communicate to the Credentialing Manager Communicates and works directly with insurance carriers, providers, and other third parties, fostering positive relationships and partnerships. Verification of provider status with Insurance Payers
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High School Diploma is required Minimum of 3 years related experience in provider enrollment or credentialing for a professional group practice.
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.