Lehigh Valley Health Network

Insurance Enrollment Specialist

Lehigh Valley Health Network

full-time

Posted on:

Location Type: Remote

Location: Pennsylvania • United States

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About the role

  • Maintains positive and productive relations with payor representatives, providers, professional services, medical staff services, and the revenue cycle to successfully expedite the enrollment/re-enrollment process.
  • Helps resolve issues to ensure that revenue is not negatively impacted.
  • Maintains an expanded knowledge and thorough understanding of the IntelliApp database and reporting options to maximize efficiencies in day-to-day operations.
  • Creates customized reports for insurance enrollment purposes.
  • Maximizes workflow efficiencies for newly introduced applications and updates enrollment application fields.
  • Populates tracking spreadsheets to maintain the most current information as it relates to new providers/practices.
  • Recognizes opportunities for system set-up adds, modifications, and deletes that will improve processes and communication.
  • Submits, updates, and maintains information utilizing multiple databases for payer/provider enrollment purposes.
  • Cultivates relationships with contract payer representatives to help anticipate changes in enrollment and re-enrollment.

Requirements

  • High School Diploma/GED
  • 5 years experience in Billing, health insurance, physician practice, or equivalent operations environment.
  • Effective prioritization of tasks to meet deadlines.
  • Knowledge and thorough understanding of the revenue cycle process.
  • Strong computer literacy skills.
Benefits
  • Health insurance
  • Flexible work arrangements
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
IntelliApp databasereporting optionscustomized reportsworkflow efficienciestracking spreadsheetsmultiple databasespayer/provider enrollment
Soft Skills
positive relationsproblem resolutioneffective prioritizationcommunicationrelationship cultivation
Certifications
High School DiplomaGED