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Aquent is partnering with a leading organization dedicated to improving healthcare outcomes and delivering exceptional patient and client experiences. This company is at the forefront of developing scalable solutions that support business growth and enhance patient care. Join a team where your contributions directly impact the efficiency and success of vital healthcare operations, ensuring providers can deliver essential services. Are you a detail-oriented professional with a passion for supporting healthcare providers? We are seeking a proactive individual to step into a crucial role focused on ensuring seamless provider enrollment. In this dynamic position, you will be instrumental in guiding the company towards scalable solutions that delight patients and clients, directly enabling the growth of our business, with a primary focus on behavioral health provider enrollment. Your expertise will directly contribute to expanding access to care and optimizing operational workflows, making a tangible difference in the lives of many.
Job Responsibility:
Complete Government and Commercial enrollment applications for behavioral health providers and groups in a timely manner
Develop and apply a working knowledge of behavioral health payor policies across multiple states
Consistently document work assignment progress, enrollment follow-up status, and relevant in-process tasks within specified systems and timeframes
Update and maintain all necessary government credentialing and revalidations for providers
Interact with providers via phone or email as needed to gather information and resolve inquiries
Proficiently communicate and collaborate with internal partners to resolve provider denials and credentialing-related claims issues
Contribute to the refinement of procedure manuals to ensure all payor enrollment processes are documented accurately and effectively
Manage all aspects of user online access, including various web portals
Attend conference calls and team meetings as requested to stay informed and contribute to team goals
Submit initial and revalidation applications for providers
Manage mail-based documentation and workflows efficiently
Requirements:
Be authorized to work in the United States
Not require sponsorship of any kind for the duration of the assignment
Be able to work on a W-2 basis
Verifiable High School Diploma or GED
Strong communication skills, both written and verbal
Excellent organizational skills with a keen eye for detail and the ability to manage multiple tasks simultaneously
Demonstrated reliability and consistent attendance
Nice to have:
1-2 years of experience with government payers (e.g., Medicare/Medicaid)
Prior insurance experience is considered a strong transferable skill
A strong willingness to learn and adapt, especially for candidates without direct prior experience in payer enrollment