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Salary100% REMOTE
Overview: The Enrollment Specialist III is responsible for the enrollment of Inovalon clients for various EDI
transactions with Payers.
Duties and Responsibilities:
Implementation Specific Requirements:
transactions with Payers.
Duties and Responsibilities:
- Respond to customer issues, perform enrollment status checks, and process payer enrollment forms
- Resolve all assigned customer issues following all standard operating procedures.
- Mentors less senior Enrollment Specialists, available as a resource to answer questions and give first level of direction. May
- Document all activities per defined process and procedures
- Generate PDF documents and populate with provider information where applicable
- Other duties as requested and/or determined
- Maintain compliance with Inovalon’s policies, procedures, and mission statement
- Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving
- Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job
Implementation Specific Requirements:
- Work with customers to lead and train on the implementation process of enrollments for INOVALON | Claims Management
- Document customer enrollment requirements and configure application to meet customer enrollment needs
- Work with customer and internal teams to monitor/track enrollment progress and discuss findings with customer
Job Requirements:
o Emphasis on payer enrollment, preferred
- Minimum of 3 years of related experience in clearinghouse and/or payer enrollments
- Proficient in Microsoft Office suite including Outlook, Word, Excel, and PowerPoint
- Proficient in Adobe Acrobat
- Excellent verbal and written communication skills
- Medical EDI Experience
- Excellent Customer Service Skills; and
- Proven ability to work effectively under pressure & meet deadlines
- 1-2 years’ experience implementing, training, reporting, or supporting healthcare software (Enrollment Implementation
o Emphasis on payer enrollment, preferred
- Prior Call Center Experience (Enrollment Support ONLY)
Education:
- High School diploma or G.E.D. required (Associates Degree preferred).
Physical Demands and Work Environment:
- Sedentary work (i.e. sitting for long periods of time);
- Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
- Subject to inside environmental conditions; and
- Travel for this position will include less than 5% locally usually for training purposes.
QUALIFICATION/LICENSURE
Work Authorization : US Citizen, Other valid work visa
Preferred years of experience : 3 years
Travel required : No travel required
Shift timings :
