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Enrollment Specialist, CAQH

Employer
SOC Telemed
Location
Reston, VA
Closing date
Jun 20, 2021

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Industry
Healthcare
Function
Accountant, IT
Hours
Full Time
Career Level
Experienced (Non-Manager)
SOC Telemed (SOC) is the leading national provider of acute telemedicine technology and solutions to hospitals, health systems, post-acute providers, physician networks, and value-based care organizations since 2004. Built on proven and scalable infrastructure as an enterprise-wide solution, SOC's technology platform, Telemed IQ, rapidly deploys and seamlessly optimizes telemedicine programs across the continuum of care. SOC provides a supportive and dedicated partner presence, virtually delivering patient care through teleNeurology, telePsychiatry, teleCritical Care, telePulmonology, teleCardiology, teleInfectious Disease, teleNephrology, teleMaternal Fetal Medicine and other service lines, enabling healthcare organizations to build sustainable telemedicine programs across clinical specialties. SOC enables organizations to enrich their care models and touch more lives by supplying healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. The company was the first provider of acute clinical telemedicine services to earn The Joint Commission's Gold Seal of Approval and has maintained that accreditation every year since inception.Our Vision as an organization is to transform healthcare by enabling patients to have increased access to the highest quality care via a technology-enabled platform.Our Mission statement follows simply and clearly from our vision. We partner with healthcare organizations to bring clinicians and patients together using innovative technologies to improve clinical care and patient outcomes in a measurable way.The Enrollment Specialist processes enrollment applications for physicians and/or other medical providers with commercial payers. Enrollment representative works with internal teams, providers, CAQH, and Commercial Credentialing Departments to assist in completing the enrollment process for medical providers. Responsible for preparing and submitting credentialing applications and supporting documentation to enroll physician and group.Responsibilities Compiles documents, researches and acts as liaison between the enrollment entity and providers obtaining updates on the status of applications and reporting progress Updates status of enrollment applications in database so other teams can access information Completes enrollment applications for the Providers and make them available for the physicians for review, revision and approval prior to submission to the Agency. Communicates with commercial payers regarding specific credentialing/enrolling questions and updates profiles accordingly Assists with Medicare and Medicaid enrollments, as needed Effectively manages large amounts of information and documentation Maintains strict confidentiality of all physician files Other projects as assigned by management RequirementsMinimum Qualifications Three years of work experience in Enrollment or related field is required Experience in working with Commercial payers to credential and enroll medical providers Experience in a fast paced team environment that requires decision-making and problem solving Proficient in Microsoft Word, Outlook, Excel, PowerPoint and web based applications Professional level written and oral communication skills Proven time management and prioritization skills focusing on urgent and overlapping deadlines Strong organizational skills, attention to detail and proven accuracy with record keeping Ability to work independently CPCS certification preferred EducationAssociate degree or higher preferredBenefitsAs part of its total compensation strategy, SOC Telemed provides its employees with a comprehensive benefits package. The benefits program is designed to provide you with the opportunity to select benefit options that best fit your lifestyle and personal choices.Benefits Include Health Insurance (Medical, Dental, Vision) Health Savings Account Flexible Spending (Medical and Dependent Care) Employer Paid Short and Long Term Disability Employer Paid 1x Life and AD&D (Supplemental available) 401(k) & Roth 401(k) Paid Time Off/Paid Holidays Pregnancy and Parental Leave Military Leave Pay

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