Healthcare Enrollment Process Specialist

hace 1 mes


San Francisco, Heredia, Costa Rica Experian A tiempo completo
About the Role

As a key member of our Experian team, you will play a crucial role in managing payer enrollment processes for healthcare providers and organizations. Your primary focus will be on coordinating with internal teams and external stakeholders to ensure compliance with industry standards and regulations.

Responsibilities
  • Timely and accurately manage payer enrollment process submissions.
  • Collaborate with payer organizations to understand enrollment requirements.
  • Verify enrollment materials for accuracy and completeness.
  • Effectively communicate with clients, payers, vendors, and internal staff.
  • Identify and resolve enrollment issues.
  • Provide training and support on EDI enrollment procedures.
Requirements
  • Excellent communication and organizational skills.
  • Able to manage multiple cases simultaneously.
  • Strong analytical and problem-solving abilities.
  • Advanced Microsoft Office proficiency.
  • Experience with EDI Payer Enrollment process and X12 EDI standards.
  • Associates Degree in Healthcare, Business, or related field.
What We Offer

We value diversity and inclusion, work/life balance, and employee development. Our comprehensive benefits package includes medical, life, and dental insurance, flexible work arrangements, paid time off, and more.

Core Values:

  • OPEN: Collaborative and growth-minded.
  • NIMBLE: Embracing change and innovation.
  • EFFECTIVE: Accountable and results-driven.


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