Provider Enrollment Analyst (Temporary for 9 months) - Remote - Nationwide
Remote, Nationwide - Seeking Provider Enrollment Analyst (Temporary)
Everybody Has A Role To Play In Transforming Healthcare
If you want to be part of changing healthcare to better serve patients, you are in the right place.
With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry's most challenging situations from the inside.
Join the Vituity Team.
At Vituity, our core values matter.
We embody a Culture of Caring by approaching every human interaction with compassion and heart.
With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first.
An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole.
Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change.
Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that.
Help us shape the future of healthcare.
Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year.
With Vituity, if you ever need to move, you can take your job with you.
The Opportunity
* Temporary position for 9 months.
* Generate, audit, and submit at least 130 recurring provider demographic rosters per month (over 1,500 rosters per year) for Blue Shield, Anthem Blue Cross, Cigna, United Healthcare, Multiplan, HealthNet, HealthSmart, and other payer programs throughout the country as needed.
* Work towards the team's overall goal of zero pending applications or roster submissions over six months after the Provider's start date.
* Submit all completed rosters to their respective supervisor or manager for audit, while working towards an error rate of less than 10% and no longer requiring audits.
* High focus on roster processes for payers and across the enterprise, including, but not limited to ad-hoc requests, credential verification, roster preparation, audits, submissions, and provider validations.
* Monitor submitted provider enrollment rosters to ensure they are processed and approved by payers and communicate said approvals to our billing team prior to timely filing.
* Complete any provider demographic, payer validations, or audits requested within payers' allotted timeframes or contracted terms.
* Develop understanding of how to tag, filter, build relationships, and remove items in DocGen Packages, within Salesforce, to assist the rest of the team by auto-populating required documents.
* Begin to learn how to build dashboards to assist the rest of the team with managing their workload.
* Manage daily administrative duties.
* Communicate data errors within our systems and notify the applicable stakeholders.
* Data entry in p...
- Rate: Not Specified
- Location: Sacramento, US-CA
- Type: Permanent
- Industry: Management
- Recruiter: Vituity
- Contact: Recruiter Name
- Email: to view click here
- Reference: 240002RT
- Posted: 2024-11-09 07:07:52 -
- View all Jobs from Vituity
More Jobs from Vituity
- Single Hand Pipe Welder
- Inside Sales Admin (Aerospace) (Chittenango, NY)
- Operations & Training Coordinator
- Territory Sales Manager - Commercial HVAC
- Assembly Worker- 1st shift
- Postbote für Pakete und Briefe (m/w/d)
- Account Manager, Hybrid, Express Scripts
- Manager, Physician & Ancillary Contracting - VA/MD/DC market
- Product Management Senior Advisor - Express Scripts - Hybrid
- Bilingual Behavioral Health Educator/ Licensed Social Worker- Evernorth - Washington DC
- Client Informatics Summer Internship
- LPN/LVN Case Management Analyst (Medicare Clinical Operations) Work from Home, Anywhere, USA
- Pharmacy Prior Authorization Representative - Remote
- Registered Nurse-In Home Primary Care- Hybrid- Houston, TX
- Business Project Senior Advisor, US Employer Operations Risk Enablement - Evernorth - Remote
- AVP, Provider Contract Network Management - AZ market
- Program Management Advisor - Express Scripts
- Sales Market Operations Lead Analyst
- Systems Analyst-Technical Product Owner
- Medicare Technology Operations - Head of Production Support