Enrollment Communications Quality Specialist Job at EdTech Jobs

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
1-3 years of Payer Enrollment experience
Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
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

Job Responsibility

Collects and maintains data on providers for Medicare and Medicaid enrollment
Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
follows up by telephone or in writing, with carriers regarding application status
Complies with Medicare and Medicaid provider enrollment guidelines
Requests NPI numbers for providers and clinics as necessary and maintains NPI files
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
Generates various reports to identify outstanding claims issues with provider numbers and non-payment
Communicates information to appropriate personnel
Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
Collects and reviews managed care contracts for correct billing and payment terms

Fulltime

Project Specialist Intern for ONELead Program

Hewlett Packard Enterprise offers university students the opportunity to join a ...

Location

Bulgaria , Sofia

Salary:

Not provided

Hewlett Packard Enterprise

Expiration Date

Until further notice

Requirements

Currently enrolled in a bachelor’s or master’s degree
Excellent command / highly proficient in spoken and written English
Strong interpersonal skills to effectively convey ideas and collaborate with team members
Ability to prioritize tasks, meet deadlines, and manage multiple assignments
Quickly learns new tools, processes, or responsibilities and remains flexible in a dynamic work environment
Friendly, easy-going character

Job Responsibility

Execute defined process steps and handle operational tasks in support of the ONELead program
Lead submission
Lead assignment
Opportunity management and closure
Reward payout
Follow-up with Sales and Delivery organizations to ensure lead quality and answer questions
Provide customized trends analysis and performance updates on geo/country level
Communicate business impact to geo stakeholders
Prepare geo/country performance presentations
Support the geo Program Lead in communicating process changes, program news, and in executing their marketing strategy

What we offer

Initial extensive onboarding to support you with adjusting into the role
Ongoing learning and development throughout the duration of the program
Competitive salary and great benefits
Great work-life balance including hybrid working and Wellness Fridays initiative

Fulltime

Quality Assurance Specialist

The person in this position will be responsible developing and executing Ohio Be...

Location

United States , Columbus

Salary:

Not provided

Ocean Blue Solutions

Expiration Date

Until further notice

Requirements

Understand and effectively communicate the new or modified features and functions introduced in assigned releases as defined in Functional Design Documents
Effectively communicate all questions to the UAT Release Lead
Build positive relationships with UAT Release Leads and Team Members
Support UAT Release Lead in the distribution of test responsibilities with Stakeholder Agency UAT test leads and team
Support successful release resource capacity and schedule targets
Monitor and report individual resource metrics to track productivity and release schedule compliance
Prepare and submit weekly status reports
Support DAS UAT Automation Test Lead for appropriate automation of new test scripts/scenarios
Develop and execute manual and automated test scripts
Participate in regular meetings to triage defect resolution, coordinate and track retesting activities, and ensure schedule and quality compliance

Job Responsibility

Responsible developing and executing Ohio Benefits (OB) test scripts under the direction of a UAT Release Lead for major and minor releases each year

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

Supervisor of Enrollment Operations

The Supervisor of Enrollment Operations leads a high-performing team of Enrollme...

Location

United States

Salary:

Not provided

Stride, Inc.

Expiration Date

Until further notice

Requirements

High School Diploma
Three (3) years of call center experience or equivalent combination of education and experience
Excellent written and verbal communication skills
Strong analytical and problem-solving skills
Proficiency in Microsoft Office Suite
Own or have daily access to a smart device where Apps can be downloaded/accessed
Ability to maintain a professional home office environment
Ability to work in high call volume environment
Ability to work independently and as part of a team
Ability to meet performance goals and deadlines

Job Responsibility

Lead, coach, and mentor a team of Enrollment Specialists
Conduct performance reviews and provide feedback
Address team issues, attendance and concerns
Oversee team training and onboarding
Monitor team performance metrics and implement corrective actions
Ensure timely and accurate processing of new enrollments and resolution of escalations
Conduct quality assurance audits
Analyze enrollment data to identify trends and inform strategic decision-making
Develop and implement strategies to improve team efficiency and productivity
Maintain a deep understanding of K12 products and services

Fulltime

Bilingual Outreach & Engagement Manager

Your North Star: Managing and motivating teams to drive enrollment. We are seeki...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Fluent in Spanish and English
Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Outreach & Engagement Manager

Managing and motivating teams to drive enrollment. Drive enrollment and activati...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment
Familiarity with healthcare software systems and customer relationship management (CRM) tools

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Enrolment specialist

Join us in shaping exceptional learning journeys! We’re looking for an Enrolment...

Location

United Kingdom

Salary:

27000.00 GBP / Year

Paragon Skills

Expiration Date

Until further notice

Requirements

GCSEs (A–C) in English and Maths or equivalent
Level 2 Functional Skills in English, Maths, and ICT
Excellent communication and interpersonal skills
Strong organisational skills and ability to manage your own workload
Experience using MS Office tools
Industry experience and preferably experience delivering apprenticeships
Solution-focused, adaptable, and proactive
Motivated with a positive, forward-thinking attitude
Energy and enthusiasm to inspire success

Job Responsibility

Provide a consistent, high-quality enrolment experience for learners and employers nationwide
Schedule and manage individual and group enrolment sessions
Offer clear information, advice, and guidance throughout the enrolment process
Conduct skills scans and recognise prior learning to tailor support
Support English and Maths requirements and book next-step workshops
Collaborate with Operations and Admin teams to resolve enrolment issues
Promote safeguarding and adhere to GDPR and data protection standards

What we offer

20 days annual leave - increasing with length of service and a holiday purchase scheme
3 Paragon Days for our Operational December Closure and 8 Public Bank Holidays
Up to 3 days of paid volunteering leave and corporate conscience initiatives
Perkbox – a suite of lifestyle benefits and wellness tools
Recognition and long service awards to celebrate our colleagues’
Optional benefits including life assurance and income protection

Fulltime

Enrollment Communications Quality Specialist

EdTech Jobs

Location:
United States

Category:
Education

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 17, 2026

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Provider Enrollment Specialist II - HP Enrollment Eligibility