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Brightli

Brightli is on a mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, and advocate for increased access to mental health and substance use care in our communities. We prioritize fostering a culture of belonging and connection within our workforce.

Managed Care Enrollment Specialist I

TherapistTherapistFull TimeRemoteMid LevelTeam 5,001-10,000

Location

United States

Posted

30 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Managed Care Enrollment Specialist I

Brightli

Role Description Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you have exceptional organizational skills, strong communication abilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care Enrollment Specialist I! As a Managed Care Enrollment Specialist I, you'll have the opportunity to work remotely and make a real difference in the lives of patients and providers. You'll be responsible for enrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care. We're looking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency. If you're a team player with excellent communication skills and a strong work ethic, we encourage you to apply! Key Responsibilities - Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail. - Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner. - Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy. - Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible. - Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration. - Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance. Qualifications - High school diploma, GED, or equivalent required. - Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred. - Healthcare Revenue Cycle experience preferred. - Excellent customer service, time management, and communication skills (oral and written). - Excellent organization skills and attention to detail. - Analytical skills and the ability to research industry topics and policies, translating information into actionable items. - Ability to multitask on various projects while meeting different deadlines. Benefits - Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost. - Mileage Reimbursement – Company paid for work functions requiring travel. - Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition. - Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce. - Remote Work Opportunity - Enjoy the flexibility and comfort of working from home. - Paid time off: full-time employees receive an attractive time off package to balance your work and personal life. - Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more. - Top-notch training: initial, ongoing, comprehensive, and supportive. - Career mobility: advancement opportunities/promoting from within. - Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as a human being, and encourages your health and happiness.

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