Enrollment Coordinator

This is a fully remote position, open to applicants in Florida.

📋 Description

• Collaborate with commercial payers to facilitate the enrollment of providers in client insurance plans.

• Assist providers in filling out enrollment applications for commercial payers.

• Serve as a liaison between health plans and the organization to address enrollment questions and other related issues.

• Maintain and update provider and payer credentialing tables in Athena.

• Comprehend provider-related billing processes and procedures for commercial payers.

• Engage in the creation of internal enrollment processes.

• Deliver regular status updates to the Revenue Cycle Team and Operations Leaders regarding the progress of enrollments until completion.

• Collaborate with Provider Services, Revenue Cycle Management, and Field Operations colleagues.

⛳️ Requirements

• High School diploma.

• At least 2 years of experience in medical credentialing.

• Previous professional experience handling personal information and ensuring patient confidentiality.

• A minimum of 2 years working with electronic medical record software, preferably Athena.

• Experience in credentialing and database management is preferred.

• Exceptional attention to detail with a commitment to accuracy and quality control.

• Highly organized, capable of tracking and managing multiple enrollments concurrently.

• Strong time-management abilities with the skill to prioritize and multitask efficiently.

• Self-driven and results-oriented, demonstrating a high level of ownership and accountability.

• Persistent and proactive in following up with payers until completion.

• Adaptable and eager to learn in a dynamic environment with changing payer requirements.

• Analytical thinker with robust math and problem-solving skills to aid in reporting and identifying enrollment gaps affecting claims.

• Proficient in using computer software, databases, EMRs, and tracking tools.

• Experience in supporting and monitoring CAQH profiles, including initial setup, attestations, re-attestations, and issue resolution.

• Excellent written, verbal, and interpersonal communication skills.

• Provider-focused, patient, and dedicated to service.

• A collaborative team player who works effectively with revenue cycle colleagues, credentialing, and provider teams.

• Comfortable in fast-paced, high-volume environments.

• Exhibits integrity and discretion when dealing with confidential medical and provider information.

• Displays flexibility and a willingness to support team priorities beyond core responsibilities as required.

🏝️ Benefits

• Great Place to Work® certified inclusive, high-trust culture.

• Value-based healthcare model supporting both members and providers.