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.