|
As an outsourced provider of Payer Contracting and related services, Tribunus Health helps leading healthcare providers obtain in-network status and re-negotiate favorable reimbursement rates. Our national team of contracting professionals pursue expanded access to care by engaging with payers to craft incentive alignment between patients, insurance companies, and providers.
Tribunus Health is hiring for an Enrollment Specialist. Read the job description below, and click here to apply.
Enrollment Specialist
The Enrollment Specialist initiates health plan enrollment requests, then follows up, researches, and resolves payer or client questions to complete enrollment processes across dozens of provider groups and individual practitioners.
Responsibilities include:
– Researching, resolving and enrolling providers with various payers (health plans) across the US
– Completing health plan enrollment requests from application retrieval to request completion. This includes group and individual applications with commercial and managed payers, as well as Medicare and Medicaid
– Performs follow-up on enrollments in process (telephone, email, and web) and maintaining enrollment records in Tribunus’ tracking portal
– Resolve and identify payer enrollment issues
– Understanding specific application requirements for each payer and payer type, including prerequisites, form completions, and supporting documentation required by specialty (e.g. License, Commercial, CAQH, Medicare and Medicaid])
– Obtaining supporting documentation from clients and confirmations from payers
– Creating client updates and participating in client calls as needed
– Establishing close working relationships with clients, account executives and payer representatives in order to streamline future submissions and improve approval times
Such activities require the demonstrated capability to:
– Manage multiple work streams successfully
– Demonstrate exceptional attention to detail
– Ability to prioritize and comfort seeking guidance from colleagues
– Pursue expertise by performing research and pulling from others
– Set a higher standard for yourself and your work product |
