Enrolment Specialist Job at Paragon Skills

Provider Enrollment Specialist II - HP Enrollment Eligibility

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care cred...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma
1-3 years of Payer Enrollment experience
Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS
Excellent written and verbal communication skills
Excellent organization and planning skills with demonstrated teamwork skills
Proven ability to interact with all levels of management and other Associates

Job Responsibility

Collects and maintains data on providers for Medicare and Medicaid enrollment
Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates
follows up by telephone or in writing, with carriers regarding application status
Complies with Medicare and Medicaid provider enrollment guidelines
Requests NPI numbers for providers and clinics as necessary and maintains NPI files
Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
Generates various reports to identify outstanding claims issues with provider numbers and non-payment
Communicates information to appropriate personnel
Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner
Collects and reviews managed care contracts for correct billing and payment terms

Fulltime

Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...

Location

United States

Salary:

40000.00 - 50000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Ability to work Monday-Friday, 8:30am - 5:00pm CT
Strong, empathetic communication skills
Motivated by goals, metrics, and monthly bonus program
Passionate about changing the current landscape of healthcare
Strong organizational and time-management skills
Ability to work independently and as part of a team
Willing to work occasional overtime hours
Are internet-connected, able to work remotely

Job Responsibility

Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
Achieve member enrollment goals as driven by company KPIs
Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Document all interactions and maintain timely, accurate records of patient outreach activities
Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
Work with families to schedule appointments and follow-up care as needed
Participate in training and development opportunities to stay current on healthcare trends and regulations
Manage inbound calls from potential patients

What we offer

Competitive healthcare benefits
Generous vacation policy
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
Uncapped performance bonus paid out monthly

Fulltime

Bilingual Outbound Enrollment Specialist

As an Outbound Enrollment Representative, you will be responsible for making out...

Location

United States

Salary:

45000.00 - 55000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Ability to work Monday-Friday, 8:30am - 5:00pm CT
Fluent in Spanish and English
Strong, empathetic communication skills
Motivated by goals, metrics, and monthly bonus program
Passionate about changing the current landscape of healthcare
Strong organizational and time-management skills
Ability to work independently and as part of a team
Willing to work occasional overtime hours
Are internet-connected, able to work remotely

Job Responsibility

Conduct high volume outbound calls to patients to provide information and education about Pomelo Care services and resources
Achieve member enrollment goals as driven by company KPIs
Support patients by answering their questions, addressing their concerns, and providing guidance on how Pomelo can support their needs
Document all interactions and maintain timely, accurate records of patient outreach activities
Collaborate internally and externally with healthcare providers, community organizations, and other stakeholders to ensure patients receive appropriate care and services
Work with families to schedule appointments and follow-up care as needed
Participate in training and development opportunities to stay current on healthcare trends and regulations
Manage inbound calls from potential patients

What we offer

Competitive healthcare benefits
Generous vacation policy
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)
Uncapped performance bonus paid out monthly

Fulltime

Brand Sales Specialist Intern

Technology sales at IBM is evolving its way of working to break beyond boundarie...

Location

United States , Brookhaven, RESEARCH TRIANGLE PARK, Dallas, Austin, San Francisco, Costa Mesa, WASHINGTON, Cambridge, Chicago, New York

Salary:

72000.00 - 132000.00 USD / Year

IBM Deutschland GmbH

Expiration Date

Until further notice

Requirements

Actively Enrolled: Registered undergraduate or graduate university student
Technical Education: Seeking B.S. or M.S degree in Business/Communications with a STEM minor, Computer Science, Engineering, Information Systems, or similar technical disciplines
Client Focused: Asks open-ended questions and understands needs to address business challenges
Tech Savvy: Conversant about technology, latest industry trends and how it is being applied to address business challenges
Team Player: Demonstrates team collaboration and can navigate different communication styles
Excellent Communication Skills: Possess verbal, written, and interpersonal skills that are engaging, compelling and influential
Self-Starter: Motivated to work with clients and can lead projects independently
Confidence to contact and engage potential new customers and deliver an elevated experience
Motivation to achieve sales, business objectives and high client satisfaction
Aptitude to utilize selling technologies to network, engage clients, and identify new business opportunities

Job Responsibility

Sales Prospecting: Apply IBM’s sales methodology to identify new clients and opportunities for expansion with existing clients through multiple channels (email, phone, video creation, social media) - this includes a considerable amount of cold calling
Building Credibility and Trust: Through consultative methods at all levels, both internally and externally, to facilitate the closure of highly complex deals
Solution-Selling Expertise in Business Development: Apply solution-selling skills to identify and engage decision makers and influencers, assess business opportunities, and address clients' requirements to establish enduring, strategic partnerships
End-to-End Sales Process Management: Assist with the complete sales process, encompassing RFI/RFP response preparation and ensure the attainment of KPIs, with a notable emphasis on new business sales, while also extending services to existing accounts
Collaboration Across IBM Sales Ecosystem: Collaborate with the broader IBM sales ecosystem, from Marketing to Sales and technical colleagues, as well as IBM Business Partners, to formulate sales campaigns and augment the pipeline

What we offer

Supplemental 1 employees may be eligible for up to 8 paid holidays, minimum of 56 hours paid sick time and the IBM Employee Stock Purchase Plan
IBM offers paid family medical leave and disability benefits to eligible employees where required by applicable law

Fulltime

Entitlement advocate

The Enrollment Medicaid Specialists provides Healthfirst’ s Medicare Advantage P...

Location

United States , New York

Salary:

48600.00 - 65960.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

High school diploma or GED from an accredited institution
Member facing or customer service experience
Be able to work 9am-5:30pm schedule
Be able to travel throughout the 5 boroughs, Westchester, Orange, Sullivan, Rockland, and Nassau County
Capability to work in a Hybrid Schedule (remote/office/field)
Tech Savvy computer skills such as Microsoft Office Suites: Outlook, Excel, Word, PowerPoint
Bilingual
Be able to communicate and engage with the leadership team on virtual platforms such as Zoom or Microsoft Teams chat as well as in person

Job Responsibility

Handle inbound and outbound calls to and from customers to address their needs while adhering to our service level goals
Screen all incoming calls and handles accordingly
Transfer calls to appropriate staff, unit, or department
Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications
Outreach Senior Health Partners, CompleteCare, and Life Improvement Plan members according to approved scripts
Research ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codes
Consult with HRA Medicaid staff as needed and report to supervisor any need for HRA consultation
Document all client calls /outcomes in database systems
Schedule appointments to see members/prospects out in the field to assist with Medicaid Issue or restriction code removals or demographic information changes
Educate potential members on Senior Health Partners, Long term care plan benefits answering questions regarding plan’s features and benefits as well as go through eligibility and requirement for enrollment

What we offer

medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions

Fulltime

Enrollment Specialist

We’re seeking a Credentialing/Enrollment Specialist to support the enrollment of...

Location

United States , Greenwood Village

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Prior experience in healthcare credentialing or payer enrollment strongly preferred—especially enrolling organizations rather than individual providers
Working knowledge of Medicare and Medicaid enrollment processes
At least 1 year of related experience, or a combination of education and experience
Proficiency with Microsoft Office (Word, Excel, Access, PowerPoint, Outlook)
Ability to collect, organize, and synthesize data into clear reports
Strong judgment and the ability to manage confidential information appropriately
Exceptionally organized with high attention to detail and consistent follow-through
Comfortable working with shifting priorities and meeting deadlines under time constraints
Familiarity with medical and/or legal terminology
Clear, professional communication—both written and verbal

Job Responsibility

Prepare and submit accurate payer enrollment applications—both digital and paper-based—for healthcare organizations
Complete credentialing and contracting requests with exceptional accuracy and attention to detail
Gather necessary licenses, compliance documents, and supporting materials from internal teams
Maintain and track all credentialing activity through company software and internal tracking systems
Update business information, maintain confidentiality, and ensure records are current and compliant
Conduct research, compile data, and assist with reporting as needed
Contribute to special projects and support other operational tasks
Adhere to company policies and standard operating procedures at all times

What we offer

medical
vision
dental
life and disability insurance
eligible to enroll in company 401(k) plan

New

Bilingual Outreach & Engagement Manager

Your North Star: Managing and motivating teams to drive enrollment. We are seeki...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Fluent in Spanish and English
Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Outreach & Engagement Manager

Managing and motivating teams to drive enrollment. Drive enrollment and activati...

Location

United States

Salary:

90000.00 - 115000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Earned your Bachelor's degree in healthcare management, public health, or a related field
Able to work some evenings, with a standard schedule of Monday - Friday, 8:30am - 5:00pm CST
Proven experience in healthcare management, specifically in outbound calling and proactive outreach
Strong knowledge of Medicaid policies, procedures, and value-based care
Excellent communication and interpersonal skills to engage with diverse patient populations
Demonstrated leadership abilities, with experience in managing and motivating teams
Proficient in data analysis and reporting, using metrics to drive performance improvements
Detail-oriented, with exceptional organizational and documentation skills
Ability to adapt to changing priorities and work effectively in a fast-paced environment
Familiarity with healthcare software systems and customer relationship management (CRM) tools

Job Responsibility

Lead, and manage a team of outreach specialists providing regular training, and coaching to achieve enrollment KPIs
Facilitate onboarding and training of new specialists
Analyze qualitative and quantitative outreach performance metrics to identify trends and opportunities to improve key KPIs including enrollments and CAC
Monitor call quality and adherence to established protocols and standards by conducting regular audits of call recordings and specialist interactions
Maintain accurate and up-to-date documentation of specialist interactions, outcomes, and follow-up actions, adhering to privacy and confidentiality regulations
Identify opportunities and implement process improvements to enhance the efficiency and effectiveness of outbound and inbound calling
Execute on regular performance evaluations of outreach specialist calls and documentation
Create and maintain team schedules to ensure adequate coverage
Ensure compliance with government regulations and guidelines in all outbound calling and outreach activities
Foster a supportive and inclusive team environment, encouraging professional growth and development

What we offer

Competitive healthcare benefits
Generous equity compensation
Unlimited vacation
Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

Fulltime

Enrolment Specialist

Paragon Skills

Location:
United Kingdom

Category:
Education

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 06, 2026

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