Overview: The Enrollment Specialist I is responsible for answering incoming enrollment support calls, logging cases, handling administrative tasks such as email campaigns to clients and other reporting and administrative support to the Enrollment teams. Performs payer follow-up with outreach to payers to verify status of pending enrollments.
Duties and Responsibilities:
- Serves as a highly poised, professional, and courteous contact point for persons communicating with the Provider Network enrollment department;
- Answers incoming calls regarding trouble tickets, status checks, processing of the enrollment forms and general enrollment questions creating cases for the Enrollment Support team to work;
- Where directed, executes email campaigns for clients regarding their enrollment status, directives, etc.;
- Processes payer approvals and updates provider accounts accordingly;
- Performs payer follow-up and outreach to payers to verify status of pending enrollments;
- Interprets, communicates, and directs information appropriately;
- Provides general support to management and department personnel;
- Assists with special projects as needed;
- 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; and
- Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.
Job Requirements:
- Minimum of 1 year of related experience;
- Proficient in Microsoft Office suite including Outlook, Word, Excel, and PowerPoint;
- Excellent verbal and written communication skills;
- Ability to work in a fast-paced environment;
- Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail;
- Ability to work well with all levels of internal management and staff, outside clients and vendors, and be a welcoming, forward-thinking, and self-motivated individual;
- Strong computer skills;
- Prior Call Center Experience;
- Medical EDI Experience;
- Payer Experience in the healthcare industry;
- Knowledge of Insurance Payer Forms;
- Excellent customer service skills;
- Excellent verbal and written communications skills;
- Excellent time management skills; and
- Proven ability to work effectively under pressure & meet deadlines.
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);
- Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
- 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.
