Enrollment Specialist Job Vacancy in Privia Health Houston, TX 77004 – Latest Jobs in Houston, TX 77004 – updated today

Are you looking for a New Job or Looking for better opportunities?
We got a New Job Opening for

Full Details :
Company Name : Privia Health
Location : Houston, TX 77004
Position : Enrollment Specialist

Job Description : Company Description
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 population health management programs, Privia works in partnership with health plans, health systems, and employers to better align reimbursements to quality and outcomes.

Job Description
Title: Credentialing & Enrollment Specialist Employment Type: FTE Exemption Status: Exempt
Location: Houston, TX
Overview of the Role:
The Credentialing & Enrollment Specialist is responsible for all aspects of the credentialing, re-credentialing and privileging processes for all launching all providers in Privia’s high-performance medical group.
Primary Job Duties:

Ensure protocols are being followed to ensure timely resolution and completion of payor enrollment to ensure no loss of revenue due to untimely payor enrollment
Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing.
Reviews and streamlines processes and workflows for the on-boarding department, using automation, where appropriate
Works with both internal and external stakeholders to resolve complex provider enrollment issues, including resolving claim denials related to provider enrollment
Supports special projects requiring knowledge of delegated and non-delegated health plan requirements
Interacts with varied levels of management, physician office staff and physicians effectively to accomplish credentialing and various elements of implementation and launch
Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
Maintains confidentiality of provider information
Assist in managing the flow of information between the payers, contracted MSO facilities and PMG
Coordinate and prepare reports
Record and track credentialing statistics
Other duties as assigned.

Qualifications
Minimum Qualifications:

1 – 3 years experience in managed care credentialing, billing and/or Medical Staff service setting
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

Interpersonal Skills & Attributes:

An individual with the ability to communicate appropriately and effectively with practitioners, internal stakeholders, and providers; including sensitive and confidential information
High level of attention to detail with exceptional organizational skills
Exercise independent judgment in interpreting guidelines of applicable regulatory bodies.

Additional Information
Physical Demands:

Ability to constantly remain in a stationary position
Ability to constantly operate a computer and other office productivity machinery, such as computer and printer
Ability to read and use close vision, including the ability to do so on a computer screen
Ability to frequently communicate and exchange information
Ability to frequently adjust focus

Technical Requirements (for remote workers):
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 https://www.speedtest.net/. 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.

Technical Requirements (for remote workers):
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 https://www.speedtest.net/. 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.

This post is listed Under Jobs in general jobs

Post Tags : , Houston, TX 77004, jobs in Houston, TX 77004, Enrollment Specialist jobs in Houston, TX 77004

Disclaimer : Hugeshout works to publish latest job info only and is no where responsible for any errors. Users must Research on their own before joining any company