Enrollment Specialist Iii

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Overview: The Enrollment Specialist III is responsible for the enrollment of Inovalon clients for various EDI 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.
• 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 ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.

Implementation Specific Requirements:
• Work with customers to lead and train on the implementation process of enrollments for INOVALON | Claims Management Pro
• 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:
• 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
• Proven ability to work effectively under pressure & meet deadlines
• 1-2 years’ experience implementing, training, reporting, or supporting healthcare software (Enrollment Implementation ONLY) *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
• Travel for this position will include less than 5% locally usually for training purposes

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.  At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless.  Inovalon is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.

By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.

To review the legal requirements, including all labor law posters, please visit this link