Payer Enrollment Specialist Position Available In Duval, Florida

Payer Enrollment Specialist Healogics – 2.9

Jacksonville, FL Job Details Full-time Estimated:

$45.9K – $66.9K a year 18 hours ago Qualifications Software troubleshooting Mid-level Microsoft Office 3 years High school diploma or GED Communication skills Full Job Description The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide. Think you are a great fit? Learn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships. The Payor Enrollment Specialist oversees the process to enroll groups and providers with insurance payors. The individual in 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. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:

Coordinate Provider on-boarding related to payor enrolment Communicate payor turn-around times to the Credentialing Manager Group and provider payor enrolment credentialing and re-credentialing Complete group and provider applications, and obtain signatures Troubleshoot and resolve payer issues related to enrolment/credentialing Alert payors of terminated providers Review first collection report with new Program Directors Maintain group and provider demographics on various databases that insurance carriers access for enrolment and payment Maintain Insurance payor 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 Payors Performs other duties as required

Required Education, Experience and Credentials:

High School Diploma is required Minimum of three (3) years related experience in provider enrollment and/or credentialing for a professional group practice

Required Knowledge, Skills and Abilities:

Strong written and verbal communication and interpersonal skills Impeccable attention to detail Ability to efficiently manage quickly-changing priorities in a busy work environment Proficient with Microsoft Office programs and can navigate spreadsheets, presentations, and documents Takes initiative to identify and resolve problems Adaptable to change Ability to contribute as a team player Maintains confidentiality This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. If you are a current employee, to submit a job application, you need to apply as an internal candidate in Workday via the “Jobs Hub”.