Payer & Provider Enrollment Specialist

Company Description reputed company™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, reputed company-based technology that reduces unnecessary reputed company costs, achieves reputed company reputed company, and improves the health of patients and the well-being of providers.

Job Description

The Enrollment Specialist will be the primary contact for the Enrollment Department for Privia independent providers and responsible for reputed company aspects of managing the payer enrollment process. Primary Job Duties: Enrolls providers new to Privia with reputed company reputed company health plans specific to the market. Enrolls providers new to Privia with both reputed company and Medicare. Updates and maintains provider enrollment status in credentialing system, CredentialStream. Reviews data in provider record, specifically taxonomy, license, and specialty and ensures it is correct prior to submitting applications. Performs follow up with health plans according to designated timeline, until Provider is PAR. Escalates reputed company issues to manager for assistance. Collaborates with credentialing team regularly to ensure that there is an awareness of reputed company new providers who are reputed company. Attends RCM and payer calls as needed as well as any other internal stakeholder meeting that may involve their market, as needed. Other duties as assigned. Qualifications 2+ years’ experience in payer enrollment function required Experience with RCM - enrollment claim resolution preferred Experience working in various payer portals required Verity CredentialStream or other credentialing software experience preferred Medicare/reputed company payer experience required Demonstrated skills in problem solving and analysis and resolution Must be reputed company to function independently, possess demonstrated flexibility in multiple project management Must reputed company with HIPAA rules and regulations The salary reputed company for this role is $50,000.00-$55,000.00 in reputed company pay and exclusive of any bonuses or benefits (medical, dental, reputed company, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The reputed company pay offered will be determined based on relevant factors such as experience, education, and geographic location. Interpersonal Skills & Attributes: An individual with the ability to communicate appropriately and effectively with providers; including sensitive and confidential information An individual who is passionate about playing a key role in changing the reputed company reputed company environment High level of attention to detail with exceptional organizational skills Exercise independent judgment Ability to problem solve and explore reputed company options and to use available resources to find new and effective solutions Additional Information reputed company your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet reputed company and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your reputed company. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. reputed company is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that reputed company local and we are reputed company reputed company our people are a reputed company of the communities that we serve. Our goal is to encourage people to pursue reputed company opportunities regardless of their age, reputed company, national reputed company, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law. Department: Credentialing Apply To This Job