Payer & Provider Enrollment Specialist

Benefits

Parental leave

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Non-birth-parent leave

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Family-building benefits

• Fertility benefits: Not verified
• Adoption assistance: Not verified
• Surrogacy assistance: Not verified

Mental health support

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Relocation assistance

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Childcare support

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Learning budget

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Verification

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Salary

$50K-$55K From the posting source

401(k) match

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Role

Seniority

Mid From the posting source

Work mode

Remote From the posting source

In-office days

0 days From the posting source

Schedule

Shift type

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Weekend work

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Company

Equity

Offered Verified - SEC 10-K source

Application

Cover letter

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Assessment

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Deadline

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Where they hire

State eligibility is not yet verified.

About this role

Payer & Provider Enrollment Specialist Remote, USA, United States | Remote Company Description: Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Job Description: The Enrollment Specialist will be the primary contact for the Enrollment Department for Privia independent providers and responsible for all aspects of managing the payer enrollment process. Primary Job Duties: Enrolls providers new to Privia with all commercial health plans specific to the market. Enrolls providers new to Privia with both Medicaid and Medicare. Updates and maintains provider enrollment status in credentialing system, CredentialStream. Reviews data in provider record, specifically taxonomy, license, and specialty and ensures it is correct prior to submitting applications. Performs follow up with health plans according to designated timeline, until Provider is PAR. Escalates known issues to manager for assistance. Collaborates with credentialing team regularly to ensure that there is an awareness of all new providers who are onboarding. Attends RCM and payer calls as needed as well as any other internal stakeholder meeting that may involve their market, as needed. Other duties as assigned. Qualifications: 2+ years' experience in payer

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