Overview
Join a leading national healthcare organization dedicated to improving lives and shaping the future of health. Our mission is to provide accessible, high-quality care, and we are looking for passionate individuals to help us achieve this goal. By ensuring seamless operations and compliance, you will play a vital role in delivering essential services to communities across the country. To be considered for this role, you must:
- Be authorized to work in the United States
- Not require sponsorship of any kind for the duration of the assignment
- Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position
We are seeking a dedicated professional to step into a crucial role within our enrollment team. In this position, you will be instrumental in maintaining the integrity and efficiency of our provider enrollment processes, directly impacting our ability to serve patients and support healthcare providers. Your meticulous attention to detail and commitment to compliance will ensure that our healthcare facilities and practitioners can continue to deliver exceptional care, making a tangible difference in the lives of many. Responsibilities:
- Ensure the timely and accurate processing of enrollment applications (initial and revalidations) for healthcare facilities and providers.
- Provide quality control for individual enrollment applications submitted for government programs, ensuring accuracy and timeliness.
- Resolve claims issues for individual payers within the corporate billing system.
- Research, complete, and maintain compliance with individual government payers through credentialing, re-credentialing, and audit processes and procedures.
- Contact providers upon receipt of revalidation notices to obtain necessary signatures and validate current general information.
- Interact with field and operations management regarding escalation notices.
- Minimize denials and deactivation of government applications to reduce key metrics such including cost to collect and aged claims.
- Update credentialing and billing systems with provider information upon inquiry or receipt from government and commercial payers.
- Ensure corporate compliance with statutory requirements for government and commercial enrollment for healthcare facilities and providers.
- Collaborate effectively with internal and external vendors, building strong partnerships through relationship-building skills.
- Interface directly with providers, payer relations, and revenue cycle operations teams (credentialing, accounts receivable, billing, and call center), as well as clinical operations teams and field and operations management, to ensure integrated processes.
- * Manage mail-based documentation and workflows.
Must-Have Qualifications:
- Verifiable High School Diploma or GED.
- Strong communication and organizational skills.
- Reliable and consistent attendance.
Nice-to-Have Qualifications:
- 1-2 years of experience with government payers (Medicare/Medicaid).
- Insurance experience is considered a strong transferable skill.
- Willingness to learn and adapt in a dynamic environment
The target hiring compensation range for this role is $22.00 to $23.57 an hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location. **About Aquent Talent:** Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium.
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive. #LI-GS1
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