At Arietis Health, we recognize the vital role healthcare revenue cycle plays in maintaining the well-being of individuals and businesses alike. Our commitment is to demystify healthcare billing by empowering individuals and collaborating with premier healthcare organizations to address their executives' most pressing revenue cycle challenges. By doing so, we enable them to shift their focus towards providing exceptional patient care. Grounded in the belief of harnessing the expertise of a highly skilled team and advanced technology, we strive to cultivate a seamless patient billing experience that not only excels in efficiency but also delivers superior results. Join us in achieving our mission. We're actively seeking a Provider Enrollment Specialist to join our fast-growing team. This is an onsite position, located in our North Carolina office. If you're eager to contribute to redefining the landscape of healthcare revenue cycle management and be a part of our collaborative, positive, and human-centric culture, we'd love to hear from you! About the Position: The Provider Enrollment Specialist is responsible for processing enrollments for new and existing individual providers and group practices, such as initiating new enrollments with Commercial and Governmental payors and reporting demographic or other provider changes. Other duties include open applications with providers or payors, follow-up on old applications, applications that are rejected, applications where we are granted enrollment and claims are still rejecting, including escalation to the Provider Enrollment Manager and/or Vice President, Enrollment. What You’ll Do : To excel in this role, an individual must satisfactorily perform the duties below; additional duties may be assigned. We are committed to intensive training opportunities and making reasonable accommodations to enable individuals with disabilities to perform the essential functions. Your contribution in this capacity is essential to our shared success. Ensure provider participation with contracted payors by taking appropriate next actions to complete enrollment, such as, completing applications, rosters, and notifications; monitor inventory Follow-up on Old Applications, Applications that are rejected, Applications where we are granted enrollment and claims are still rejecting. Escalate items to other areas outside of department, as needed Work with payors and providers to ensure compliance with enrollment process Initiate contact with payors and practices via telephone or electronic methods with respect to provider enrollment and billing errors, utilizing proper customer service protocol Update and maintain data in appropriate Provider Enrollment systems while ensuring accuracy and data integrity Review correspondence received then take appropriate action to resolve Appropriately resolve or escalate payor application denials Meet and maintain established departmental performance metrics for production and quality Maintain working knowledge of workflow, systems, and tools used in the department Perform other duties as assigned. Adherence to the Code of Conduct and Corporate Compliance Program What You’ll Bring: High school diploma, and minimum five years related experience and/or training in Medical Billing environment with an understanding of Healthcare Billing Processes; or equivalent combination of education and experience. Minimum three (3) Years experience in Accounts Receivable and Provider Enrollment experience required Minimum three (3) Years related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment Relevant education may substitute experience requirement Knowledge of National Plan and Provider Enumeration System (NPPES) and Council for Affordable Quality Healthcare (CAQH) preferred Proficient in Microsoft Office Suite or related software. Experience in working with reports, spreadsheets and Excel. Problem solving abilities. Excellent communication and customer relation skills. Ability to multi-task. Possess strong organizational skills. Understand HIPAA (Health Insurance Portability and Accountability) guidelines. Strong Language Ability: Read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Write routine reports and correspondence. Speak effectively before groups of customers or employees. Strong Mathematical Ability: Calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Apply concepts of basic algebra and geometry. Strong Reasoning Ability: Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Excellent technical writing capability Excellent non-technical writing capability Excellent telephone skills and manner with customers Excellent face-to-face interactions with customers Excellent organizational skills Excellent process development and documentation skills What We Offer: A chance to simplify revenue cycle management, together at a high-growth company! Since our founding in 2020, we’re already helping millions of patients and thousands of providers each year. We are proud to offer: Competitive compensation 401K plan with company match PTO with 12 additional paid holidays Telehealth at no cost to employees Health, dental, vision, and prescription drug coverage Group life insurance, Optional Life, Critical Illness and more. Training, development, and mentorship opportunities Other: Our commitment to fostering a diverse and inclusive workplace is unwavering. All qualified applicants will be considered for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status. The job description provided above is not an exhaustive list of duties and standards for the position. Incumbents are encouraged to willingly embrace additional instructions and undertake related duties as assigned by their supervisor. As a condition of employment, you are expected to adhere to established compliance program requirements and uphold the employee and internet codes of conduct outlined in the Employee Handbook. While all tasks and responsibilities listed are considered essential functions of this position, we recognize that business conditions may require reasonable accommodations for additional tasks and responsibilities. The work environment characteristics outlined herein represent those encountered by an employee while performing the essential functions of this job. Reasonable accommodation may be arranged to facilitate individuals with disabilities in fulfilling these essential functions. The physical requirements outlined herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. We are dedicated to making reasonable accommodations to enable individuals with disabilities to fulfill these essential functions.