Plan Enrollment Coordinator
United Physicians United Physicians Franklin, MI Franklin, MI Full-time Full-time $39,982 - $75,000 a year $39,982 - $75,000 a year Assist in answering telephone and written inquiries from health plans and providers, and possess the ability to respond/ resolve issues appropriately as needed.
Engage in effective communication with the relevant departments to ensure issues/topics are brought forth and resolved in a timely manner.
Request assistance of other key departments if necessary for resolution, as necessary and appropriate.
Develop and maintain a constructive and collaborative relationship with Provider Relation Representatives from each insurance plan through monthly or quarterly meetings as applicable.
Initiate the on-boarding process for new UP physicians in a timely manner.
Monthly/Quarterly run reports to identify and resolve Insurance Plan enrollment/effective/termination date inquiries.
Initiate the Plan Enrollment Process which includes but not limited to, preparing Shareholder packets and single agreements for credentialed/paid physicians, reviewing and processing returned Shareholder packets and single agreements, sending contracts to appropriate insurance plan, create and/or update plan participation record and communicate updated status to provider.
Prepare and send monthly provider files to the plans as it applies.
Support Contracting Department by processing health plan enrollment for insurance plan roll-outs projects.
Update databases or records with new information as it becomes available.
Correct and modify inaccurate files and records.
Enter data into appropriate fields; databases, records and files.
Transfer data from written records, interviews and paper formats via computer, recorders or scanners.
Comply with security backups and regular checks to ensure data is saves and stored properly.
Provide and resolve health plan notification of effective and termination dates.
Provide fully executed agreements to physicians for their records.
Work on special projects assigned by management.
Support the Client Services Department as needed.
Job Type:
Full-time Pay:
$39,982.
14 - $75,000.
00 per year
Benefits:
401(k) Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Ability to commute/relocate:
Franklin, MI 48025:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Microsoft Office:
1 year (Preferred) Customer service:
1 year (Preferred) Work Location:
Hybrid remote in Franklin, MI 48025.
Estimated Salary: $20 to $28 per hour based on qualifications.
Engage in effective communication with the relevant departments to ensure issues/topics are brought forth and resolved in a timely manner.
Request assistance of other key departments if necessary for resolution, as necessary and appropriate.
Develop and maintain a constructive and collaborative relationship with Provider Relation Representatives from each insurance plan through monthly or quarterly meetings as applicable.
Initiate the on-boarding process for new UP physicians in a timely manner.
Monthly/Quarterly run reports to identify and resolve Insurance Plan enrollment/effective/termination date inquiries.
Initiate the Plan Enrollment Process which includes but not limited to, preparing Shareholder packets and single agreements for credentialed/paid physicians, reviewing and processing returned Shareholder packets and single agreements, sending contracts to appropriate insurance plan, create and/or update plan participation record and communicate updated status to provider.
Prepare and send monthly provider files to the plans as it applies.
Support Contracting Department by processing health plan enrollment for insurance plan roll-outs projects.
Update databases or records with new information as it becomes available.
Correct and modify inaccurate files and records.
Enter data into appropriate fields; databases, records and files.
Transfer data from written records, interviews and paper formats via computer, recorders or scanners.
Comply with security backups and regular checks to ensure data is saves and stored properly.
Provide and resolve health plan notification of effective and termination dates.
Provide fully executed agreements to physicians for their records.
Work on special projects assigned by management.
Support the Client Services Department as needed.
Job Type:
Full-time Pay:
$39,982.
14 - $75,000.
00 per year
Benefits:
401(k) Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Ability to commute/relocate:
Franklin, MI 48025:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Microsoft Office:
1 year (Preferred) Customer service:
1 year (Preferred) Work Location:
Hybrid remote in Franklin, MI 48025.
Estimated Salary: $20 to $28 per hour based on qualifications.
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