Provider Enrollment Specialist

At Highmark Health, we are looking for an experienced Provider Enrollment Specialist to join our team. The ideal candidate will have a strong understanding of medical insurance enrollment processes and a passion for helping others.The Provider Enrollment Specialist will be responsible for ensuring accurate and timely enrollment of providers into Highmark Health’s insurance plans. The successful candidate will need to possess excellent attention to detail and organizational skills, as well as the ability to think critically and problem solve.The ideal candidate will have:• At least 5 years of experience in provider enrollment, medical billing, or related field• Knowledge of medical insurance enrollment processes and regulations• Ability to analyze data and evaluate complex information• Excellent communication skills and a customer-focused attitude• Proficiency in Microsoft Office SuiteIf you have a passion for helping others and a commitment to accuracy and compliance, we invite you to join our team at Highmark Health.

Responsibilities:

1. Ensure timely and accurate enrollment of providers into Highmark Health’s insurance plans.
2. Analyze data and evaluate complex information to ensure accurate and compliant enrollment.
3. Liaise with providers and other stakeholders to ensure timely enrollment and answer questions or resolve issues.
4. Maintain up-to-date knowledge of all regulations and processes related to medical insurance enrollment.
5. Monitor system performance and identify areas of improvement.
6. Develop and implement new processes and procedures to increase efficiency and accuracy.
7. Respond to customer inquiries and complaints in a timely manner.
8. Maintain accurate records of all enrollment activities and provide regular progress reports.
9. Coordinate with other departments to ensure smooth and efficient enrollment.
10. Provide training and support to team members and other stakeholders as needed.

According to JobzMall, the average salary range for a Provider Enrollment Specialist in Pittsburgh, PA, USA is between $39,846 and $60,918 per year. This range is based on the salaries reported by current and former employees of various companies in the Pittsburgh area.

Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.