Top 9 Enrollment specialist Jobs in Rapid City, Sd

Enrollment Specialist
Monument Health Rapid City Hospital, Inc. —Rapid City, SD
- $20.96 - $26.20 an hour
- Part-time
- Hospital
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
3h
Admissions Specialist
Western Dakota Technical College —Rapid City, SD
- $42,931.20 - $53,996.80 a year
- Weekends as needed
- Microsoft Outlook
- Marketing
- Writing skills
- Health insurance
- Paid time off
HBHS Family Development Specialist - Plaza Site
Youth & Family Services —Rapid City, SD
- Full-time
- Addiction Medicine
- Ability to lift 50 pounds
- Driver's License
- Paid holidays
- Disability insurance
Quick Apply
Precision Livestock Extension Field Specialist I
South Dakota Board of Regents —Rapid City, SD
- $60,000 - $65,000 a year
- Full-time
- Driver's License
- University
- Criminal background check
- Paid holidays
- Health insurance
14d
South Dakota State University – Agriculture Program – Extension – Precision Livestock Extension Field Specialist I
Rapid City, SD
- $60,000 - $65,000 a year
- Online Application
- Mid-level
- Driver's License
- University
- Paid holidays
- Health insurance
11d
Inside Sales Insurance Specialist
AMBA —Rapid City, SD
- $50,000 - $100,000 a year
- Full-time
- Communication skills
- Entry level
- Paid holidays
- Disability insurance

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Enrollment Specialist

Monument Health Rapid City Hospital, Inc. -
Rapid City, SD

Quick Apply

Job Details

Part-time
$20.96 - $26.20 an hour
3 hours ago

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
Opportunities for advancement
Retirement plan

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Current Employees:

If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location

Rapid City, SD USA

Department

RCH Medical Staff Services

Scheduled Weekly Hours

Starting Pay Rate Range

$20.96 - $26.20

(Determined by the knowledge, skills, and experience of the applicant.)

Job Summary

The Enrollment Specialist is responsible for auditing credentials verifications compliant with NCQA Accreditation standards and is directly responsible for payer enrollment of organizational facilities, service locations, professional groups, physicians, practitioners, and other billing providers where required in order for the organization to receive payment for services. This position is accountable for maintaining and disseminating accurate plan participation status to operational and billing internal departments to maximize collections in the revenue cycle management process. Function as a subject matter expert for payer credentialing and enrollment representatives to ensure health system providers are fully credentialed and loaded as participating providers with all applicable government and commercial payers.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

Supportive work culture
Medical, Vision and Dental Coverage
Retirement Plans, Health Savings Account, and Flexible Spending Account
Instant pay is available for qualifying positions
Paid Time Off Accrual Bank
Opportunities for growth and advancement
Tuition assistance/reimbursement
Excellent pay differentials on qualifying positions
Flexible scheduling

Job Description

Essential Functions:

Directly responsible for oversight and collection of accurate credentialing of organizational providers, facilities and ancillary services.
Oversight and collection of documentation necessary for payer enrollment of complex hospital groups and services compliant with hospital system policies and accreditation sources such as NCQA, CMS and others.
Ensure compliance with applicable regulatory requirements, accreditation standards, payer policies, and governing documents.
Obtain application signatures from the authorized signatory and provide all required supporting documentation. Submit applications and follow up diligently to ensure timely processing. Respond to deficiency notifications in a timely manner. Follow up diligently on provider addition requests and communicate provider changes, corrections, and terminations. Continuously monitor enrollment process for improvements. Collaborate with Legal and Accreditation to ensure regulatory and compliance requirements are met.
Responsible for delegated credentialing policy interpretation and compliance. Responsible for annual payor credentialing file audits. Oversees delegated credentialing roster submission and tracking. Work with delegated payer contacts to address concerns within the delegation process while cultivating relationship with delegated payers.
Works collaboratively with Medical Staff Services team to promote data integrity and to optimize effectiveness of the Credentialing database, ensuring consistency in data entry rules. Supports the implementation of new database modules applicable to Medical Staff Services. Implementation includes data migration and validation, as well as data mapping to demographic reports, participation reports, and training.
Provides training related to payer enrollment that enhances knowledge, develop skills and enrich the team.
Excellent interpersonal skills and ability to work efficiently with internal and external customers. Maintain positive working relationships with payer representatives, providers, and all Monument Health internal departments.
All other duties as assigned.

Additional Requirements

Required:

Education - High School Diploma/GED Equivalent in General Studies

Experience – Minimum 1 year of healthcare experience (i.e. Credentialing/Enrollment, Billing/Collections, Business Office)

Preferred:

Education - Associates or Bachelor’s degree in Healthcare or Business

Physical Requirements:
Sedentary work - 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, including the human body. Sedentary work involves sitting most of the time.

Job Category

Business Administration

Job Family

Business Services

Shift

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type

Regular

10 Monument Health Rapid City Hospital, Inc.

Make a difference. Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Quick Apply

Refine Your Search

enrollment specialist jobs in rapid city, sd

Enrollment Specialist

Admissions Specialist

HBHS Family Development Specialist - Plaza Site

Precision Livestock Extension Field Specialist I

South Dakota State University – Agriculture Program – Extension – Precision Livestock Extension Field Specialist I

Inside Sales Insurance Specialist

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