Payor Enrollment Specialist
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Job Location:
New York City, NY - USA
Yearly Salary:
$ 50 - 55
Posted on:
2 days ago
Vacancies:
1 Vacancy
Department:
Job Summary
About us
LifeMD is a leading digital healthcare company committed to expanding access to virtual care pharmacy services and diagnostics by making them more affordable and convenient for on both treatment and prevention our unique care model is designed to optimize the patient experience and improve outcomes across more than 200 health concerns.
To support our expanding patient base LifeMD leverages a vertically-integrated proprietary digital care platform a 50-state affiliated medical group a 22500-square-foot affiliated pharmacy and a U.S.-based patient care company with offices in New York City; Greenville SC; and Huntington Beach CA is powered by a dynamic team of passionate professionals. From clinicians and technologists to creatives and analysts were united by a shared mission to revolutionize enjoy a collaborative and inclusive work environment hybrid work culture and numerous opportunities for growth. Want your work to matter Join us in building a future of accessible innovative and compassionate care.
About the role
This position reports to the Director of Payor Enrollment Licensing & Credentialing and is responsible for assisting with all aspects of the Payor Enrollment process. The Payor Enrollment Specialist will ensure efficient operations of billing collections and claims processes to maximize revenue and enhance patient satisfaction.
Responsibilities
- Credential/re-credential LifeMD providers with insurance payors (Commercial and/or Medicare/Medicaid payors)
- Assist with maintaining the credentialing matrices for all LifeMD providers and markets/states
- Provide follow-up correspondence with insurance payors on a regular basis for all credentialing matters
- Work with other LifeMD departments to facilitate the onboarding/offboarding of LifeMD providers
- Assist LifeMD providers with any ancillary credentialing and payor enrollment questions
- Create maintain and update insurance payors and credentialing rosters for LifeMD
- Check insurance payor websites for accurate directory listings and performs regular updates
- Meet LifeMD expectations for payor application submission on a consistent basis
- Respond to routine external correspondence. Type memos and other department forms and documents
- Handle confidential and non-routine information and maintain provider confidence and protect operations by keeping all provider and LifeMD practice information confidential
- Work independently as well as on a team on special and nonrecurring and ongoing projects at the request of the Director of Payor Enrollment Licensing & Credentialing which may include updating Excel spreadsheets or other systems and disseminating information
- Maintain reliability as it is an essential function of the position to report to work on time for scheduled hours ready for work
- Perform other related duties as required
Requirements
Basic Qualifications:
- Credentialing Certification Bachelors degree in business administration healthcare administration or equivalent experience
- 3 years of performing payor enrollment and registration functions
- Strong understanding of payor enrollment functions and processes
- Knowledge of healthcare regulations and compliance requirements
Preferred Qualifications:
- Certifications such as Certified Provider Credentialing Specialist (CPCS) and/or Certified Medical Services Management (CPMSM) via NAMSS
- Excellent analytical skills with the ability to interpret and act on complex data
- Proficiency with credentialing software and Microsoft Office Suite
- High level of proven communication skills including written verbal and conceptual presentation
- Ability to work in a fast-paced dynamic growth environment
- Creative problem solver strategic thinker and team player who thrives in a collaborative environment
- Organizational and time management skills with a high attention to detail
Benefits
- Salary: $50K - $55K annually
- Health Care Plan (Medical Dental & Vision)
- Retirement Plan (Roth 401k)
- Life Insurance (Basic Voluntary & AD&D)
- Flexible PTO Policy
- Paid Holidays
- Short Term Disability
- Training & Development
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
LifeMD is an emerging leader in technology-driven healthcare. We're applying our direct-to-consumer marketing expertise to make access to quality care and medication convenient, cost-effective, and simple. Our brands are intensely focused on our patients, constantly striving to delive ... View more
