Sr. Enrollment & Implementation Specialist
Share
Job Location:
North Haven, CT - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Location: Hybrid 2 days a week in our North Haven CT Office.
The Sr. Payer Enrollment Specialist is responsible for the athena payor enrollment process which includes EDI ERA EFT payer registration and working with the client to update PECOS and Medicaid accounts as needed.
- Prepares presentations and communicates to clients the roles and responsibilities of both Privia and the client during the implementation process with regard to Athena payer registration.
- Works closely with the client at their site to establish or update EDI set up for athena.
- Completes all worklist items/tasks in athena regarding EFT ERA EDI setup once client has confirmed completion.
- Assists the client with updates to the Medicare 855B group record that includes EFT and pay to address updates or assists in implementing a new Medicare 855B record as needed.
- Provides weekly updates to all key stakeholders on athena payer enrollment table and brings to light any risk(s) to the Go Live date.
- Works in the claims system to identify any claims issues related to enrollment and works with local leaders to ensure this is resolved.
- Updates provider PAR statuses in athena so that claims will not hold when the CC goes live.
- Works with other Privia partners including RCM credentialing and operations in addressing any provider enrollment issues.
- Update claims system and releases claims on a regular basis.
- Works SalesForce cases to provide updates to Care Centers on provider statuses.
- Works with both internal and external stakeholders to resolve complex Athena enrollment issues.
- Supports special projects requiring knowledge of athena.
- Interacts with varied levels of management physician office staff and physicians effectively to accomplish credentialing and various elements of implementation and launch
- Maintains confidentiality of provider information
- Coordinate and prepare reports
- Other duties as assigned.
Qualifications :
- 2 years experience in payer enrollment
- AthenaOne EMR experience required
- Medicare payer experience preferred
- Athena EDI set up experience preferred
- Ability to travel locally within the State of Connecticut
- Excellent client interaction skills
- Demonstrated skills in problem solving and analysis and resolution
- Advanced Microsoft Excel skills
- Must be able to function independently possess demonstrated flexibility in multiple project management
- Must comply with HIPAA rules and regulations
- Prefer knowledge of EFT ERA enrollment and claims systems
The salary range for this role is $60000 to $68000 in base pay and exclusive of any bonuses or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs). This role is also eligible for an annual bonus targeted at 15%. The base pay offered will be determined based on relevant factors such as experience education and geographic location.
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Technical Requirements (for remote workers only not applicable for onsite/in office work):
In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.
Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.
Remote Work :
No
Employment Type :
Full-time
Key Skills
- Employee Orientation
- Dayforce
- Human Capital Management
- Visio
- Business Process Modeling
- Process Mapping
- Ceridian
- Smartsheet
- Salesforce
- Peoplesoft
- Project Management
- Microsoft Project
About Company
Privia Health is a national physician platform transforming the healthcare delivery experience. We provide tailored solutions for physicians and providers, creating value and securing their future. Through high-performance physician groups, accountable care organizations, and popul ... View more
