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Payer Enrollment Coordinator

A-Line Staffing Solutions LLC

Cumberland, RI

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JOB DETAILS
SALARY
$23.56–$23.57 Per Hour
SKILLS
Accounts Receivable, Billing, Comparative Analysis, Government, Health Insurance, Health Plan Membership, High School Diploma, Insurance Sales, Maintain Compliance, Medicaid, Medicare, Meet Sales Quota, Organizational Skills, Problem Solving Skills, Process Management, Productivity Management, Quality Management, Quality Metrics, Record Keeping, Testing, Time Management
LOCATION
Cumberland, RI
POSTED
10 days ago
  • Ensure timely and accurate processing of Payer Enrollment applications for Clinics and Providers.
  • Provide quality control for individual enrollment applications submitted for Medicare and Medicaid programs.
  • Resolve claims issues for individual payers in the corporate billing system.
  • Research and maintain compliance with Government payer credentialing, re-credentialing, and audit processes.
  • Update Credentialing and Billing systems with Provider information as needed.
  • Act as a key point of contact for escalated claim issues and ensure internal communication on resolutions.
  • Adjust enrollment records within proprietary contract enrollment application
  • Ensure timely and accurate enrollment
  • Manage all ChapCare enrollment locations, including enrollment shops, health insurance enrollment at select health center locations, and enrollment events
  • Monitor the achievement of enrollment objectives
  • Facilitate the admission, testing, and registration of students in concurrent enrollment/dual enrollment program
  • Conduct initial contact and recurring enrollment status
  • Increasing health plan enrollment growth and retention
  • Counsel and assist potential students with enrollment at multiple locations sites
  • Assess state of enrollment team performance and progress
  • Resolve all paper enrollment issues on a timely basis
  • Communicate all aspects of upcoming enrollment event to client
  • Manage the enrollment process of new and existing customers
  • Improve yields at inquiry, application and enrollment stages
  • Prepare a variety of records and reports regarding student enrollment
  • Reconcile member eligibility based on various enrollment documents and reports
  • Enroll employee groups in voluntary products through various enrollment methods
  • Handle any inquiries about eligibility/enrollment and maintain membership records
  • Implement and maintain production and quality standards for the enrollment team
  • Support enrollment activities on behalf of Group Insurance sales offices, and facilitate overall enrollment process for new and existing customers
  • Compare and analyze enrollment tracking to A/R reports

Critical Information
  • This is an onsite role.
  • Monday to Friday, 7:30 AM - 4:00 PM.
  • Compliance with safety sensitive role requirements is mandatory.

Education/Licenses Needed
  • High school diploma or GED required; Bachelor's Degree preferred.
  • 1-2 years of experience with government payers (Medicare/Medicaid) preferred.

About the Company

A

A-Line Staffing Solutions LLC

A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2004
WEBSITE
http://www.alinestaffing.com/