Enrollment Communications Quality Specialist Job at EdTech Jobs

Enrollment Specialist

We are looking for an Enrollment Specialist to support client access to healthca...

Location

United States , Santa Barbara

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting enrollment, annual enrollment, or open enrollment activities in a healthcare or human services setting
Knowledge of eligibility verification, benefits coordination, and documentation practices related to client service programs
Ability to review case notes and service records for accuracy, completeness, and alignment with program or billing standards
Strong computer data entry skills with the ability to maintain organized and reliable records in electronic systems
Familiarity with health care terminology, client support processes, and reimbursement-focused documentation standards
Effective communication skills and the ability to work collaboratively with case managers, service staff, and external partners
Strong attention to detail and the ability to manage multiple deadlines involving enrollments, authorizations, and follow-up tasks.

Job Responsibility

Guide eligible clients through enrollment into programs, completing and processing required forms accurately and on time
Partner with homeless services teams to monitor ongoing client eligibility, update records, and help prevent interruptions in approved coverage or support
Examine case management documentation to confirm services are properly recorded, clinically appropriate, and aligned with reimbursement standards
Coordinate with program and case management staff to track authorization timelines and support timely submission of renewal requests before expiration
Review claims-related records and supporting documentation in the Health Management Information System to promote accurate billing and complete file maintenance
Participate in meetings with internal teams and external partners to address service quality, operational needs, and continuous improvement efforts
Provide additional administrative and program support as needed to assist with successful day-to-day execution of CalAIM initiatives

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Provider Enrollment Specialist Senior

This role serves as a Payer Enrollment liaison. Represents Payer Enrollment on m...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
3-5 years of Payer Enrollment experience preferred
Solid knowledge and utilization of PC applications including Microsoft Word and Excel
Excellent written and verbal communication skills
Excellent organization and planning skills with demonstrated teamwork skills
Proven ability to interact with all levels of management and other Associates
In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Collaborates with CBO and local operations on enrollment related issues
Attends and provides enrollment related updates on matrix calls
Collaborates with Credentialing Team and local operations on items needed
Updates Credentialing/Payer Enrollment database as needed
Accesses payer databases as needed to ensure appropriate enrollment
Performs multi-state Medicaid Enrollment through state portals
Submits updates as needed to payers
Maintains internal enrollment database
Educates associates on enrollment processes when needed

Fulltime

Provider Enrollment Specialist

Join a dynamic, mission-driven team dedicated to supporting healthcare providers...

Location

United States , Austin

Salary:

22.00 USD / Hour

ChaseSource

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Minimum 1 year of customer service or data entry experience
At least 6 months of experience in healthcare credentialing or provider enrollment preferred
Strong verbal and written communication skills
Excellent attention to detail and organizational abilities
Proficiency in Microsoft Office and ability to navigate multiple systems
Self-motivated and capable of working independently in a remote environment
Bilingual (English/Spanish) preferred
Must provide full address prior to interview

Job Responsibility

Handle a high volume of incoming calls and emails from healthcare providers
Assist providers with application deficiencies and documentation requirements
Process provider enrollment and file maintenance requests accurately and on time
Maintain production and quality standards, including a minimum 98% QA score
Research incomplete applications and follow up with providers to ensure completion
Identify and resolve application issues using critical thinking and standard procedures
Maintain strict confidentiality of sensitive provider and healthcare information
Participate in process improvement initiatives and team meetings
Update system records and track provider interactions accurately
Stay up-to-date with Medicaid enrollment policies and best practices

What we offer

Health Benefits Offered
Fully remote position with company-provided equipment
Opportunities to grow and advance your career
Supportive company culture

Fulltime

Provider Enrollment Specialist

The Provider Enrollment Specialist supports Medicaid provider enrollment and fil...

Location

United States , Austin

Salary:

Not provided

MMC Group LP

Expiration Date

Until further notice

Requirements

Minimum of 6 months of recent experience enrolling and credentialing healthcare providers
At least 1 year of professional experience in customer service, data entry, or a related role
Mid-to-high level computer proficiency, including Microsoft Office applications
Excellent verbal and written communication skills
Strong attention to detail with a quality-focused mindset
Ability to work independently while following direction and meeting deadlines

Job Responsibility

Process 100 percent of assigned provider enrollment applications and maintenance requests to completion using documented work instructions
Meet or exceed minimum daily production targets
Identify deficiencies and notify providers of incomplete or inaccurate applications
Revise deficiencies and submit corrections based on Quality Assurance audit findings
Respond to provider inquiries regarding application status
Research and contact providers by phone to resolve enrollment application issues as needed
Adhere to Quality Assurance standards to maintain required minimum quality scores
Maintain strict confidentiality of provider information and files in compliance with HIPAA requirements
Make recommendations to management to improve efficiency and effectiveness of enrollment processes
Flexibility to work overtime based on daily production inventory requirements

What we offer

Medical, dental, and vision coverage
Life and disability insurance
Additional voluntary benefits

Fulltime

Credentialing Enrollment Specialist

Location

United States , Charlotte

Salary:

24.10 - 36.15 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High school diploma or GED required
Bachelor's degree preferred
Three years' experience in a role that performs or supports provider credentialing, privileging, and/or enrollment in either a hospital, managed care plan or CMS environment
Knowledge of and experience with personal computers, Windows and Microsoft applications, copier and fax machines and multi-line telephone
Experience in typing, word processing, and business correspondence
Certification through National Association of Medical Staff Services (NAMSS) as Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) preferred

Job Responsibility

Performs primary source verifications of documentation required for managed care credentialing and re-credentialing of MGD providers
Provides issue resolution and support regarding billing issues as they relate to provider enrollment and credentialing for MGD providers and the Central Billing Office
Enters provider data in the ECHO database according to established departmental processes and provides feedback to other System entities as to the status of the applicants
Performs follow-up on needed information (expired licenses, board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of same in a timely manner
Prepares physician files for file audits by managed care organizations, Corporate Compliance and accreditation entities
Conducts practice site visits for practices within MGD
Facilitates communication tools and or activities to maintain timely and accurate flow of information to Managed Care Organizations (MCOs) and the System
Reviews hard copy and electronic provider directories and other information produced by managed care organizations reflecting MGD and the System's demographics and participation
Provides Team member support to the CPN Credentialing and Quality Review Committee

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Senior Clinical Research Associate/Clinical Research Associate II - Oncology

As a Clinical Research Associate (CRA) at Parexel, you act as an integral part t...

Location

United States

Salary:

Not provided

Parexel

Expiration Date

Until further notice

Requirements

Minimum 3 years relevant experience in clinical research site monitoring (preferably 2 years in Oncology) in a CRO or pharma organization
Preferred therapeutic experience in Oncology
Global clinical trial experience preferred
Extensive knowledge of clinical trial methodologies, ICH/GCP, Food and Drug Administration (FDA) and local country regulations
Must be fluent in English and in the native language(s) of the country they will work in
Travel (60-80%) within area is required
Valid driver’s license and passport required
Demonstrated knowledge of clinical research and development processes and ability to gain command of process details
Demonstrated knowledge of global and local regulatory requirements
Demonstrated understanding of key operational elements of clinical research (e.g., monitoring, data acquisition and cleaning, reporting, etc.)

Job Responsibility

Ensure proper conduct of clinical trials in accordance with the Study Monitoring Plan (SMP) and applicable prevailing laws, GCP, and sponsor standards to achieve project goals, timelines and quality
Manage assigned operational aspects for implementation of clinical trial activities at assigned investigator sites from site activation through to database lock, ensuring relevant timelines and quality deliverables are met
During study conduct, serve as the primary point of contact for assigned investigator sites
Work in partnership with and/or escalate to the SCP to ensure quality of site delivery
Interface with the study team as needed, facilitate information flow between members of the study team, vendors and assigned investigator sites
Partner with SCP to perform investigator site development, coaching and training of site personnel to ensure ongoing compliance with protocol and the safeguarding of patients
Provide protocol training to, and address protocol related questions from the investigator site staff when required, including discussions on known/anticipated operational and clinical trial risks
Attend investigator meeting when required (virtual or F2F)
Provide enrollment support and ensure progress by responding to site activation and recruitment issues from investigators
Partner with SCP and the study team to define and support recruitment initiatives at site level

What we offer

Flexible work arrangements
Career growth and development
Supportive and inclusive environment
Diverse therapeutic areas and project exposure
Advanced Technology

Fulltime

New

Customer Service Specialist III - Senior Center

Be the friendly face of Boise Parks and Recreation! In this customer-focused rol...

Location

United States , Boise

Salary:

17.53 - 20.81 USD / Hour

City of Boise

Expiration Date

July 13, 2026

Requirements

High school diploma or equivalent and four years of experience performing administrative or customer service support duties in a departmental or operational group
Valid state-issued driver's license
Knowledge of: Supervisory principles and practices
Basic accounting, including cash handling and monetary reconciliations, basic bookkeeping and filing practices
Business office and telephone etiquette and equipment
General office practices and procedures
Business English (grammar, punctuation and spelling)
General customer service techniques
Computer usage including related software
Ability to: Supervise a diverse group of people

Job Responsibility

Handles complex issues and problems and refers only the most complex issues to higher-level staff
Is capable of performing all duties of a Customer Service Specialist I and II, and provides leadership, coaching, and/or mentoring to a subordinate group, as needed
Greets and receives customers
Processes customer registrations and answers recreation questions
Schedules facility use and various recreational programs or activities
Manages the attendance of activities through sign-up spreadsheets, payment of activities and tracking of actual attendance
Enters reservation information into a database and tracks accordingly
Adjusts customer balances
Maintains mailing lists, generates reports and tracks other information, such as program rosters, facility reservation calendars and financial reports on an annual and monthly basis
Performs system management functions for the department's database software

What we offer

Zero-cost premium medical coverage for you and your family (an estimated $10,000 - 20,000 value)
PERSI retirement (11.96% Employer Contribution) plus employer-matched 401(k)/457b
10 hours vacation/month (grows with tenure), 12 paid holidays, and 8 hours sick leave/month
10 weeks paid parental leave
$500 annual wellbeing incentive
Tuition reimbursement and free local bus pass
Basic life and long-term disability insurance at no cost

Fulltime

Executive and Physician Benefits Specialist

The Executive and Physician Benefits Specialist provides comprehensive administr...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associates Degree
BA/BS in HR, Finance, Business or related field, preferred
Ability to recognize potential risks or problems and suggest various options leading to solutions
Ability to collaborate across functions and across regions
Intermediate to advanced Microsoft skills
Demonstrated ability to grasp and actively process complicated concepts and formulate strategies
High level analytical and problem solving capability
Strong information systems knowledge, statistical and research skills
Demonstrated strong communication skills with all levels of the organization including physician and senior leadership
Appreciation for and ability to maintain confidentiality, with the highest level of discretion

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Serve as a primary contact for physician and executive inquiries, providing high-level administrative support
Coordinate communications, meetings, and onboarding logistics to ensure a smooth CHRISTUS Associate experience
Coordinate and maintain complex scheduling needs, including meetings, appointments, and event logistics within the Executive Programs team
Ensure data integrity and accuracy on all executive, physician & clinician benefit processes, and ensure privacy requirements are met
Support HR and benefit processes, including onboarding, promotions, terminations, data entry, benefits orientation, and communication updates, ensuring timely changes to systems and records
Assist in preparing materials for initiating relocation benefits and enrolling in other specific benefits. This includes concierge contact with each Executive to ensure information is provided and critical enrollment deadlines are not missed
Maintain accurate employee records by updating job descriptions, organizational rosters, and communication lists
Collaborate with the Executive Recruitment team to support compensation and benefits alignment
Support payroll processing by preparing documentation, reviewing compensation data, and maintaining deduction files and stewardship metrics

Fulltime

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Enrollment Communications Quality Specialist

Job Description

Job Responsibility

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