Payor Strategy Enrollment Coordinator
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Payor enrollment coordinator managing practitioner enrollment, claims issues, and compliance documentation for TridentCare. Remote administrative role supporting payor credentialing and process improvements.
Responsibilities:
- Respond to verbal and written internal or external customer inquiries within policy and procedure timelines
- Follow policies and procedures to maintain workflow standards
- Audit department functions for compliance with policies, procedures, contracts, and government regulations
- Resolve claims issues related to practitioner or group enrollment
- Identify and communicate process improvement opportunities
- Collaborate with legal, compliance, tax, and other departments to maintain certifications, licenses, and other compliance documents
- Address problems as they occur and advise the manager of concerns or compliance issues
- Complete reports according to schedule
- Participate in requested projects
- Complete enrollment and related applications as needed
- Provide staff support as requested
- Perform other assigned duties supporting organizational goals
Requirements:
- Strong oral, written, and interpersonal communication skills
- Demonstrated initiative and ability to work independently
- Excellent organizational and attention to detail skills
- Team player and self-starter able to exercise sound judgment
- High tolerance for ambiguity and flexibility to respond to changing circumstances and priorities
- Ability to prioritize, troubleshoot, and problem solve
- Strong analytical skills
- Ability to manage multiple and competing priorities
- Internet access to perform job duties
- Intermediate Microsoft Office skills
- Advanced English written/verbal skills
- Advanced communication skills
- Advanced computer skills
- Intermediate typing skills; minimum 35 wpm
Benefits:
- Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
Similar Jobs
Construction Specialist
Construction Specialist managing single-family rental renovations for Roofstock’s investment platform. Developing scopes, pricing projects, and controlling remote turn execution across vendor networks.
Appeals Specialist
Appeals Specialist reviewing STD and LTD claim appeals for Alight’s benefits and absence-management business. Investigating disputes, interpreting regulations, and determining compliant outcomes.
Denial & Appeals Coordinator, RN – Concurrent Denials Prevention
Remote RN coordinator evaluating hospital denials, medical necessity, and appeals. Supporting Baptist Health’s South Florida healthcare system with utilization and billing recommendations.
Counterparty Credit Risk, Functional Specialist
Counterparty credit risk specialist defining IMM limits-management solutions for Talan’s financial-services clients. Translating risk requirements into data, calculation, testing, and reporting capabilities.
CAD Specialist
CAD Specialist supporting Autodesk, Bentley, and other engineering software for ENTRUST Solutions Group’s infrastructure projects. Troubleshooting systems, maintaining CAD standards, and improving design workflows.
Grad Intern – Global Patient Safety
Amgen oncology clinical science intern supporting clinical trial data quality and operations. Researching cancer therapies and assisting cross-functional teams developing innovative medicines.
Senior Posterior Consumables Specialist
Senior ZEISS surgical consumables specialist protecting accounts and growing regional sales. Conducting clinical demonstrations and managing surgeon, operating-room, and administration relationships.
Senior Analytics & Evaluation Specialist
Senior analytics specialist evaluating Shatterproof’s addiction-recovery programs and population-health initiatives. Translating quantitative and qualitative findings into actionable recommendations for nonprofit decision-making.
Mid-Level NEPA Environmental Specialist
NEPA Environmental Specialist supporting SC&A’s federal energy and nuclear clients. Preparing environmental analyses, impact statements, and compliant documentation for NRC and DOE projects.
Cabin Crew, Flight Attendants
Freelance aviation writer covering cabin rules, onboard service, and crew life for TheTravel. Publishing travel journalism for an audience of 8 million monthly visitors.
Medical Specialist
AbbVie ophthalmology medical specialist promoting medicines and sharing clinical information with healthcare professionals. Monitoring market insights, reporting adverse events, and meeting regional objectives.
Equipment Coordination Specialist, Dental
Dental equipment coordination specialist managing installation scheduling, procurement, invoicing, and returns for Henry Schein. Supporting districts, sales teams, technicians, and financial accounting remotely.
Hotel Reservations Specialist
Hotel reservations specialist supporting Hilton Grand Vacations guests with bookings, payments, and service. Handling calls and emails while recommending resorts and resolving vacation issues.
Field Application Specialist – BioAnalytics
Field Application Specialist supporting Sartorius customers with Incucyte bioanalytics solutions. Delivering technical consultations, application trials, training and troubleshooting across Northern UK, Scotland and Ireland.
Provider Enrollment Coordinator
Provider enrollment coordinator managing commercial, Medicare, and Medicaid enrollment for Intermountain Health. Tracking applications, recredentialing, denials, and provider onboarding.
Roof Measurement Specialist
Remote Roof Measurement Specialist using specialized software to measure and label roofs. Producing accurate roof reports for clients and stakeholders on Manila-time shifts.
Program Delivery Lead – Benefit Enablement, Execution
Humana Medicare Advantage program lead translating product strategy, regulatory requirements and benefit priorities into executable delivery plans. Coordinating bid initiatives, feasibility assessments and cross-functional process improvements.
Asesor Telefónico
Asesor telefónico remoto para Konecta, empresa peruana que conecta compañías con sus clientes. Atención al cliente desde casa en turno mañana.
Full Time - Piura/Remoto
Agente remoto de atención al cliente para Konecta, empresa que conecta compañías con sus clientes mediante agentes humanos e IA. Trabajo desde casa en Piura.
Industry Lead – Travel, Transportation and Hospitality
Industry lead shaping AI and agentic strategies for Wonderful’s travel, transportation, and hospitality vertical. Connecting go-to-market, product, deployment, and marketing to grow strategic customer accounts.