Managed Care Enrollment Specialist; Remote

Job Description:

Managed Care Enrollment Specialist I

Location:

Remote / WFH (Work from Home) Department:
Managed Care

Employment Type:

Full-time

Job Summary:

Are you passionate about delivering exceptional customer service and making a meaningful impact in the healthcare industry? Do you have exceptional organizational skills, strong communication abilities, and a keen eye for detail? If so, we invite you to join our dynamic team as a Managed Care Enrollment Specialist I! As a Managed Care Enrollment Specialist I, you'll have the opportunity to work remotely and make a real difference in the lives of patients and providers.

You'll be responsible for enrolling and revalidating providers with various managed-care payers, ensuring that they are properly credentialed and able to deliver high-quality care. We're looking for a highly organized and detail-oriented individual who is passionate about providing top-notch customer service and streamlining processes to improve efficiency. If you're a team player with excellent communication skills and a strong work ethic, we encourage you to apply!

• Compile and submit payer initial enrollment and revalidation applications in various formats, ensuring accuracy and attention to detail.
• Monitor, compile, and maintain accurate enrollment records for all providers, communicating updates to internal stakeholders in a timely and professional manner.
• Create timely and accurate reports for managed care payers, performing routine auditing of payer records to ensure compliance and accuracy.
• Coordinate with providers to ensure accurate credentials, services, and practice locations, streamlining communication and simplifying processes wherever possible.
• Act as a liaison for external privileging with other organizations, meeting contractual obligations and ensuring seamless collaboration.
• Maintain department standards while adhering to all required regulations, demonstrating a strong commitment to quality and compliance.

• High school diploma, GED, or equivalent required.
• Experience in healthcare administration utilizing advanced Microsoft Office and Excel preferred.
• Healthcare Revenue Cycle experience preferred.

• Excellent customer service, time management, and communication skills (oral and written).
• Excellent organization skills and attention to detail.
• Analytical skills and the ability to research industry topics and policies, translating information into actionable items.
• Ability to multitask on various projects while meeting different deadlines.

Physical Requirements:

Remote work environment, with minimal physical demands.

At Brightli, we’re dedicated to changing and saving lives. Join our team and be part of a compassionate and collaborative environment that values your contributions.

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce.

We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission‑driven organization dedicated to cultivating an authentic workplace.