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eProvider - Enrollment Specialist (Remote, US)

Enrollment Specialist, eProvider Solutions (Remote, US)

At EverCommerce [Nasdaq: EVCM], we are on a mission to digitally transform the service economy with tailored, end-to-end SaaS solutions that simplify and empower the lives of our 685,000+ customers. As a leading service commerce platform, our modern digital and mobile applications create predictable, informed, and convenient experiences between customers and their service professionals in the areas of Home & Field Services, Health Services, and Fitness & Wellness industries.

We are building an extraordinary company and looking for talented, energetic, and motivated people to join our team. You can learn more about our Company, Culture and Values here:

https://careers.evercommerce.com/us/en

We are looking for an Enrollment Specialist to focus on our product, eProvider Solutions. Our eProvider Solutions (ePS) service line simplifies the transfer of electronic transactions between physicians, health care facilities and payers. With decades of experience in health care operations and management, our teams provide a single source claims management solution for our clients.

eProvider Solutions is seeking an experienced Enrollment Specialist II. Daily responsibilities will be supporting the Implementation team by completing payer enrollments and providing excellent customer support for our extensive healthcare related client list.

Responsibilities:

Develop, evaluate, implement, and maintain processes, policies, and procedures to ensure standard operating procedures are adhered to with regard to quality.
Prepare reports and dashboards related to department progress and strategic goals set by senior management.
Keep Manager apprised of any changes in enrollment requirements that may affect process or enrollment time, working closely with the Manager to continuously monitor department performance.
Motivate employees to achieve peak productivity and performance.
Utilize continuous quality improvement processes to improve and maintain quality results.
Identify trends in all functional areas to allow for training, development, and continuous process improvement utilizing Lean tools and principles.
Participate in the development and implementation of objectives, short- and long-term planning and goals, and projects and programs that assist in the accomplishment of established goals.
Build solid relationships with trading partners and payers and act as a liaison between ePS and the payer through the entire enrollment process.
Assist with researching and maintaining payer connections
Acquire payer documentation and forms necessary for enrollment or programming
Complete payer enrollments for a variety of customers
Diligently follow-up on all enrollments that are submitted to drive them to closure
Strategically manage a portfolio of enrollments, prioritizing daily tasks to assist our clients in uncovering and closing revenue impacting opportunities.
Maintain a high level of business insight to deliver personalized business insights to all customers.
Think strategically about business solutions that are unique to each customer, creatively implementing solutions that drive process change.
Passionately support eProvider Solutions commitment to creating an outstanding experience for all of our customers

Skills and Experience needed for success in this role:

Must Haves:

Professional and Institutional (HCFA, UB, and ANSI 5010) insurance billing experience
Basic computer skills, (Office applications, email, online meetings, etc.)
Understanding of clearinghouse functions
Organized, detail-oriented individual capable of meeting short-deadline goals
Ability to prioritize the most important activities daily in order to maximize time spent on open items
Ability to adapt to increased workload
Strong written and oral communication skills
A team player who performs well independently and is strongly self-motivated
Ability to understand, analyze and interpret data to make organizational, planning and problem-solving decisions

Nice to Haves:

Knowledge of the healthcare industry
Professional medical insurance billing experience
BA/BS degree preferred

Where:
The EverCommerce team is distributed globally, with teams in the U.S., Canada, the U.K., Jordan, New Zealand, and Australia. With a widely distributed team, we are used to working remotely across different time zones. This role can be based anywhere in the United States - if you’re close to one of our offices, we can set you up in-office or you can work 100% remotely. Please note that you must be eligible to work without sponsorship to qualify for this position, and this role may require travel to our Corporate Headquarters in Denver, Colorado, or to other office locations around North America.

Benefits and Perks:

Flexibility to work where/how you want within your country of employment – in-office, remote, or hybrid
Continued investment in your professional development through Udemy
Robust health and wellness benefits, including an annual wellness stipend
401k with up to a 4% match and immediate vesting
Flexible and generous (FTO) time-off
Employee Stock Purchase Program
Student Loan Repayment Program

Compensation:

The target base compensation for this position is $17.00 - $19.00 USD per hour/ in most US locations. Final offer amounts are determined by multiple factors including location, local market variances, and candidate experience and expertise, and may vary from the amounts listed above.

EverCommerce is an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. We look forward to reviewing your credentials and getting to know more about your experience!

EverCommerce Glassdoor Company Review

3.7

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CEO of EverCommerce

Eric Remer

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By EverCommerce

EverCommerce (Nasdaq: EVCM) is a leading service commerce platform, providing vertically-tailored, integrated SaaS solutions that help more than 600,000 global service-based businesses accelerate growth, streamline operations, and increase retenti...

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FUNDING

Private

INDUSTRY

Computer Hardware Development

TEAM SIZE

1001-5000

LOCATION

Hybrid, based in Denver, CO

DATE POSTED