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Enrollment Coordinator – Remote Work Opportunity SWHR CNC at Southwestern Health Resources CIN in Pittston, Pennsylvania

Posted in General Business 30+ days ago.

Type: Full-Time





Job Description:


Enrollment Coordinator - Remote Work Opportunity

Southwestern Health Resources, a national leader in population health, is looking for a qualified Enrollment Coordinator to join our Care N' Care team.

If you're looking for a rewarding career at a patient-centered organization with work-life balance and comprehensive benefits, we want to hear from you.

Position Highlights

    • Work location: This position is a Remote/Work from Home opportunity
    • Work environment: Care N' Care
    • Work hours: Full-time, 40 hours weekly , Monday through Friday, 8:00am - 5pm
      • Local travel to attend on-site meetings or as requested to the SWHR Corporate Headquarters located at 1603 LBJ Freeway, Farmers Branch, Texas 75234

    • Salary range: $17.35 - $25.81 per hour (based on relevant experience)

    • Please note: The Enrollment Coordinator is employed by SWHR. SWHR is a clinically integrated network formed by Texas Health and UT Southwestern.

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health and UT Southwestern, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas. SWHR is also the parent organization of Care N' Care Insurance Co., a regional Medicare Advantage Plan serving more than 13,500 members in the region.

The SWHR network includes physicians from UT Southwestern and Texas Health, and independent community primary care and specialty physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, resulting in lower costs and high-quality care. In 2020, the Centers for Medicare & Medicaid Services released the annual financial and quality results and, based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations, having saved nearly $120 million since joining the program in 2017.

Qualifications

    • High School Diploma or Equivalent (required)
    • 6 months Enrollment and Billing experience (preferred)
    • 2 years Enrollment and Billing experience (strongly preferred)
    • 3 years' experience in Medicare Advantage Programs (preferred)

Position Responsibilities SWHR Enrollment Coordinator will p rocess enrollment as well as membership cancellation. Manage the enrollment database and research any missing information in the system. Review enrollment and disenrollment reports. Generate billing statements, then mail bills and correspondence to appropriate recipients. Process adjustments, terminations, additions, changes or address, and monthly renewals into the billing system. Develop and manage enrollment and billing system to achieve maximum efficiency and accuracy.

In addition to the required qualifications, a successful Enrollment Coordinator will:

    • have t horough knowledge of CMS guidelines, processes, and systems
    • excellent problem solving, communication, and organizational skills
    • ability to work independently or as a team
    • excellent knowledge of Microsoft Office (Excel, Word, PowerPoint)

Why Southwestern Health Resources
As a Southwestern Health Resources you'll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Moving healthcare forward
At the heart of SWHR are people who help people. We care about those we serve and each other. To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

We invite you to learn more about us at www.southwesternhealth.org .

Let's move healthcare forward - together.

Highlights:

    • Combining the strengths of UT Southwestern Medical Center, Texas Health Resources and more than 2,500 community physicians, we offer the largest provider network in North Texas. SWHR covers approximately 700,000 patient members across 16 counties in North Texas.
    • SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Additional perks of being a SWHR Enrollment Coordinator

    • Gain a sense of accomplishment by contributing in a teamwork environment
    • Positively impact patients' quality of life
    • Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources
    • Enjoy opportunities for growth

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org .





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