Provider Enrollment Associate

1 week ago

Bonifacio Global Metro Manila, Philippines Top Source Executive Search Full time ₱250,000 - ₱750,000 per year

Location: BGC, Taguig City

Work setup: Onsite | Graveyard shift

Salary: Depending on your skills and experience

We are seeking a diligent and detail-oriented Payor Enrollment Associate to join our team. The ideal candidate will be responsible for the timely and accurate completion of enrollment tasks, demonstrating a strong commitment to quality, efficiency, and meeting key performance goals within a fast-paced environment.

Responsibilities:

Task Execution & Quality Assurance:

  • Ensure the accurate and high-quality execution of Payor Enrollment tasks and application processes.
  • Focus on Medicaid/Medicare and Commercial (Medical or Behavioral Health) enrollments.
  • Submit enrollment applications for groups and/or providers to meet client deadlines.

Performance & Productivity:

  • Consistently meet daily and weekly objectives, ensuring timely task completion while effectively managing an increasing workload.
  • Be accountable for achieving core performance metrics related to the speed, quality, and efficiency of file processing.
  • Ensure all managed files comply with client Service Level Agreements (SLAs) and exceed quality standards.

Collaboration and Support:

  • Regularly identify and suggest opportunities to enhance operational efficiency.

Essential Skills & Qualifications:

  • Detail-Oriented: A strong commitment to accuracy and driving improvements through detailed process analysis.
  • Proactive Approach: A hands-on mentality is essential, requiring tactical execution for short-term goals as well as strategic thinking for long-term improvements.
  • Collaborative Spirit: You thrive in a team environment and excel at working with others to achieve shared objectives.

Qualifications:


• At least Senior High School Graduate or High School Graduate (old curriculum)


• Excellent Verbal & Written Skill Communication Skills


• At least 1-3 years of wide experience with commercial payers (e.g. Cigna, Aetna, United, BCBS, etc.), Medicaid with various states, varying provider types, and any management experience.

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