Top 215 Enrollment specialist Jobs in South Carolina

Provider Enrollment Specialist
New Horizon Family Health Services —Greenville, SC
- Mid-level
- Databases
- Business Administration
- Health savings account
- Paid holidays
Graduate Enrollment Specialist
CHARLESTON SOUTHERN UNIVERSITY —North Charleston, SC
- Online Application
- Background check
- Windows
- Microsoft Office
2d
Member Engagement Specialist (EST)
Tuesday Health —Charleston, SC
- Remote
- Spanish
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Provider File Specialist II
BlueCross BlueShield of South Carolina —Columbia, SC
- 8 hour shift
- Customer service
- Word processing
- Basic math
- Health insurance
- Dental insurance
Automotive Customer Support Specialist
Concentrix —South Carolina
- $23 an hour
- Urgently hiring
- Hybrid work
- 18 years or older
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
9d
Client Service Specialist
Alera Group —Greenville, SC
- $23.00 - $35.90 an hour
- Full-time
- Hybrid work
- Spanish
- English
- High school diploma or GED
- Disability insurance
- Health insurance
11d
Training Specialist
Vertiv —Pelzer, SC
- Mid-level
- Office
- Analysis skills
- On-the-job training
Provider Outreach Specialist
RVO Health —Summerville, SC
- $58,000 - $60,000 a year
- Monday to Friday
- Public speaking
- Mid-level
- Bachelor's degree
- Commuter assistance
- Paid parental leave
8d
Quality Outcomes Specialist - Clinical Outcomes - Multiple locations
Roper St. Francis Healthcare —Charleston, SC
- RN License
- Hospital
- Mid-level
- Health savings account
- Disability insurance
Specialist, Retirement Benefits
Sonoco Products Company —Hartsville, SC
- $71,280 - $117,900 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
11d
Orientation and Mobility Specialist
TheraPeds —Spartanburg, SC
- $65 - $85 an hour
- Full-time
- School experience
- Classroom
- Experience working with individuals with disabilities
- Health insurance
- Dental insurance
Quick Apply
12d
Provider Enrollment Specialist
XIFIN —Charleston, SC
- $23 - $29 an hour
- Full-time
- HIPAA
- Mid-level
- Office
Quick Apply
Medical Credentialing Specialist
Carolina Nephrology, PA —Greenville, SC
- $25 - $27 an hour
- Full-time
- Senior level
- Communication skills
- Time management
- Health insurance
- Dental insurance
Quick Apply
Flexible Benefits Client Implementation Specialist
Marsh McLennan Agency —Greenville, SC
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- Mid-level
- Tuition reimbursement
Training Specialist
NEIGHBORHOOD ASSISTANCE CORP. OF AMERICA —Columbia, SC
- $55,000 - $75,000 a year
- Weekends as needed
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
14d
Holiday Specialist
Ambius —Lexington, SC
- Weekends as needed
- No high school diploma
- High school diploma or GED
- Warehouse
- Paid holidays
- Disability insurance
Quick Apply
12d
Enterprise Onboarding Specialist
RedSail Technologies —Spartanburg, SC
- $35 - $40 an hour
- Hybrid work
- HIPAA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
8d
Credentialing Specialist
One Federal Solution —Columbia, SC
- Customer service
- Mid-level
- Administrative experience
Quick Apply
Eligibility Specialist II (MAGI) / 61100154TG
State of South Carolina —Spartanburg County, SC
- $36,491 a year
- Temporary
- Computer literacy
- Basic math
- English
- Paid holidays
- Disability insurance
2d
Caregiver Support Specialist (Remote)
FreedomCare —Charleston, SC
- $23 - $26 an hour
- Home Health
- 1 year
- Communication skills
- Commuter assistance
- Health insurance
Quick Apply

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Provider Enrollment Specialist

New Horizon Family Health Services -
Greenville, SC

Apply Now

Job Details

Benefits

Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
Employee discount
403(b)
Loan forgiveness
Life insurance

Qualifications

Health insurance policy knowledge
Compliance monitoring
Insurance regulation
Associate's degree

Full Job Description

JOB SUMMARY:

This position is responsible for completing all applications for payer plans for purposes of billing and reimbursement for health care services. This includes incorporation of information gathered from the credentialing process. The Provider Enrollment Specialist is responsible for coordinating, monitoring and maintaining the provider enrollment and re-enrollment process in a timely and compliant manner with all government and commercial plans.

DUTIES PERFORMED:

Greets patients, staff and visitors in a pleasant and professional manner.
Serve as the liaison for troubleshooting any provider or organization enrollment issues.
Keep the Revenue Cycle Director informed at all times of the status of new/revised or pending physician and non-physician provider numbers, effective dates, and plan enrollment to prevent delayed claims filing and disruption to cash flow.
Develops databases and spreadsheets for tracking the organization’s provider enrollment.
Accurately maintain all internal systems with appropriate provider and network participation information.
Complete appropriate steps for updating and maintaining Provider Enrollment Databases to ensure claims are processed timely and accurately.
Serve as a member of the Revenue Cycle Management Committee.
Assist other staff in the resolution of provider enrollment issues.
Complete and review applications for all new providers for assigned organizational contracts with various plans.
Maintain CAQH profiles for individual providers when granted access by said provider.
Ensure all work is performed in accordance with established policies and procedures.
Prepare and process provider enrollment applications and organization enrollment applications for Medicare, Medicaid, and other payers.
Track and follow-up to obtain provider numbers.
Build knowledge base for payer requirements and forms.
Obtain required credentialing paperwork from the HR Department.
Maintain organized and accurate files for efficient and effective enrollment tracking to ensure credentialing information is obtained for all physician and non-physician providers to be included in enrollment and re-enrollment applications.
Coordinates delivery of provider applications to appropriate health plans.
Submit applications to payers.
Utilize the available portals of various payers as necessary to complete the enrollment process.
Follow-up and check status of applications with payers until provider and/or organization enrollment is completed.
Attends all in-service training as required.

QUALIFICATIONS:

EDUCATION:
- REQUIRED:
  - Minimum of an Associate degree in Healthcare Administration, Business Administration, or related field

EXPERIENCE:
- REQUIRED:
  - Minimum of two years’ experience in provider enrollment, revenue cycle management or provider credentialing
OTHER REQUIREMENTS:
- Knowledge of insurance regulation and compliance.
- Experience with PECOS and the utilization of the SC Healthy Connections portal.

Benefits and Perks:
New Horizon Family Health Services offers a robust and comprehensive benefit package to full time employees.

Automatic:
- Annual Leave
- Sick leave
- Up to 12 Paid Holidays plus your birthday
- Eligibility for 2 annual bonuses after 1 year of employment when defined eligibility criteria are met
- Continuing education courses through SC AHEC
- Various employee discounts. I.e., Verizon, AT&T, YMCA, etc.
- Eligibility for the Public Service Loan Forgiveness (PSLF) Program
Optional:
- Medical (PEBA State Health Plan), Dental and Vision benefits
- Flexible Spending and Health Savings Accounts
- Voluntary Life Insurance
- Short Term Disability and Long Term Disability
- Accident and Critical Illness Coverage
- 403 (b) Retirement Plan, with up to 4% employer match after the first year of employment

Mission:

Our Mission is to provide quality, affordable, compassionate patient-centered health care to improve the health of the communities we serve. Our Vision is that our community will be one of the healthiest in the Nation. Superior patient care is the hallmark of NHFHS.

ICARE Values:

The ICARE values of New Horizon Family Health Services guide our employees toward achieving the mission of our company and our vision for our community. Our values stand for Integrity, Collaborations, Accountability, Respect, and Enrichment.

Community:

Greenville, South Carolina is the perfect place to live, work, and play. Greenville is surrounded by mountains, lakes, hiking & biking trails, as well as recreational activities including golf, tennis, water sports, cultural performances and more. Geographically located between Atlanta, GA and Charlotte, NC, with beaches just 3.5 to 4 hours away.

We are an Equal Opportunity employer.

Apply Now

Refine Your Search

enrollment specialist jobs in south carolina

Provider Enrollment Specialist

Graduate Enrollment Specialist

Member Engagement Specialist (EST)

Provider File Specialist II

Automotive Customer Support Specialist

Client Service Specialist

Training Specialist

Provider Outreach Specialist

Quality Outcomes Specialist - Clinical Outcomes - Multiple locations

Specialist, Retirement Benefits

Orientation and Mobility Specialist

Provider Enrollment Specialist

Medical Credentialing Specialist

Flexible Benefits Client Implementation Specialist

Training Specialist

Holiday Specialist

Enterprise Onboarding Specialist

Credentialing Specialist

Eligibility Specialist II (MAGI) / 61100154TG

Caregiver Support Specialist (Remote)

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