Priviahealth

Provider & Payer Enrollment Specialist (New Jersey)

Remote, USA, United States

Sponsorship not specified$50k-$55kDetected 8 days ago

ComplianceProject ManagementSalesforceExcelOnboardingHIPAAEHR/EMRLeadershipProblem SolvingOrganizational Skills

About the role

The Enrollment Specialist will be the primary contact for the New Jersey Market's Enrollment Department for all Privia independent providers and care centers, and responsible for all aspects of managing the payer enrollment process.
The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.
All your information will be kept confidential according to EEO guidelines.

The Enrollment Specialist will take steps necessary to enroll all new groups and providers with the contracted payers in the NJ market, including all commercial and federal payers.
The Enrollment Specialist will take steps necessary to investigate all claims/enrollment related issues or questions with the care centers.
Work within AthenaOne EMR to resolve inbound claims related inquiries.
Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Act as liaison between Enrollment Department and both internal and external stakeholders
Other duties as assigned
2+ years' experience in payer enrollment function
Verity CredentialStream or other credentialing experience preferred

An individual with the ability to communicate appropriately and effectively with providers; including sensitive and confidential information
An individual who is passionate about playing a key role in changing the current healthcare environment
High level of attention to detail with exceptional organizational skills
Exercise independent judgment
Ability to problem solve and explore all options and to use available resources to find new and effective solutions

This listing is sourced directly from Priviahealth's careers page and normalized into a canonical job model.