Provider Enrollment Specialist - Remote - Nationwide

About the position

At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call 'culture of brilliance.' Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.

Responsibilities

• Prepare, submit, and scan approximately 1,000 provider enrollment applications per year for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed.
• Submit all applications to supervisor/manager for audit, working towards an error rate of less than 10%.
• Monitor submitted provider enrollment applications to ensure approvals are received and communicated to billing team prior to timely filing.
• Manage daily administrative duties with an emphasis on enhancing efficient workflows.
• Prioritize requests, manage time, and workload to execute project plans within given deadlines.
• Respond to internal and external inquiries on routine enrollment and contract matters.
• Serve as liaison between billing company, providers, and payer representatives to resolve all provider enrollment issues.
• Coordinate credentialing process with assistance of an on-site administrator as needed.
• Communicate with providers and other departments to update as needed and maintain confidentiality.
• Update records in Salesforce with billing numbers, contract information, submission dates of applications, and notation of any communications or problems.
• Deactivate inactive providers from Medicare, Medicaid, and other payers to remain compliant with federal and state regulations.
• Ensure data integrity and participate in trainings and development to mitigate compliance risk.
• Learn to research numerous payer issues and work to resolve with payers and billing company quickly and effectively.
• Contribute and assist with implementation of process improvement ideas.

Requirements

• HS Diploma in combination with relative work experience required.
• 2-4 years related healthcare experience required.
• Bachelor’s degree is preferred.
• 3+ years of related healthcare experience preferred.
• Knowledge of billing or reimbursement is desired.
• Provider Enrollment experience is desired.
• Ability to effectively interact with providers, payer representatives, internal departments, team members, and other stakeholders.
• Ability to accomplish tasks thoroughly and accurately.
• Ability to effectively manage time and organize.
• Proficient in Microsoft Office Suite.
• Knowledge of additional technology-based assistance.
• Knowledge of online Medicare/Medicaid enrollment systems.
• Knowledge of Medicaid enrollment process.
• Knowledge of Salesforce and utilizing dashboards and reporting.

Nice-to-haves

• Experience with Salesforce data loader for bulk import of data.
• Experience with DocuSign for sending out PE documents.

Benefits

• Superior health plan options.
• Dental, Vision, HSA/FSA, Life and AD&D coverage.
• Top Tier 401(k) retirement savings plans with a $1.20 match for every dollar up to 6%.
• Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical.
• Student Loan Refinancing Discounts.
• Professional and Career Development Program.
• EAP, travel assistance, and identity theft included.
• Wellness program.