Enrollment Specialist (Back Office) in OpenLoop

Closed job - No longer receiving applicants

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About Openloop
When our CEO & Co-Founder was a kid, he thought his dad must be the best doctor in the world. Why else were people driving from all over for their appointments? He realized that, while his dad was a great doctor, he was also one of the only specialists available in his rural community.
That’s why we built OpenLoop. We’re passionate about powering Telehealth companies in all 50 states of US to expand access to affordable, convenient, and quality care. We do this by connecting our network of leading clinicians with innovative digital health companies, and managing many of the HR and Operations challenges that come with licensing, credentialing, insurance, PC groups and scheduling, all through our SaaS platform.
We have a flat organizational structure. Everyone is encouraged to bring ideas to the table and make things happen. This fits with our core values of Autonomy, Competence and Belonging, as we want everyone to feel empowered and supported to do their best work.

Job functions

Responsibilities and essential functions for the Enrollment Specialist include:
  • Coordinating all managed care credentialing activities to ensure provider participation status; credentialing activities require substantial contact with outside agencies.
  • Preparing credentialing and re-credentialing applications on behalf of providers for submission to managed care companies and other agencies.
  • Maintaining necessary logs, lists, records, and current documentation required for provider credentialing and re-credentialing.
  • Verifying physician/provider information for managed care plans including communication with health plan representatives and other staff as necessary.
  • Following up with managed care companies to ensure expedient credentialing.
  • Preparing and completing applications, link letters and spreadsheets to managed care organization specifications.
  • Maintaining relationships with external managed care organization and clients as required.
  • Other duties as assigned.

Qualifications and requirements

  • Highly self-motivated, preferably with some expertise in the healthcare physician credentialing, expirables management, re-credentialing, provider enrollment environment, or medical industry in general.
  • Experience using ticket management softwares like Jira.
  • Experience in Backoffice, customer service or operational work.
  • Success-driven and results-oriented, with the ability to implement and manage cross-functional projects.
  • Proficiency with credentialing systems and/or ability to learn new systems/processes quickly.
  • Provide highest level of customer service for both internal and external customers.
  • Strong written, listening and reading communication skills in English, along with strong presentation and documentation skills.
  • Ability to prioritize tasks and projects.
  • Accurate discernment on when to act independently and when to ask for guidance and/or assistance.
  • Consistently demonstrate flexibility, a customer-focus, terrific organizational skills and a passion for details.

Desirable skills

  • Technical or Professional career (could be complete/incomplete) related with Bussines Administration, Industrial Engineer, etc.
  • Advance level of Speaking in English will help you growth in the career path.

Conditions

In addition to competitive salaries, this role includes:
  • Long term contract under a Peruvian company ID("Planilla"). You will receive all the legal benefits in Peruvian soles (CTS, "Gratificaciones", etc). Payment is variable based on candidate experience and skill.
  • Monday - Friday workdays Full time (9 am - 6 pm).
  • Vacations will be according the Legal requirements in Peru. (22 days)
  • EPS healthcare covered 100% with RIMAC --Because you, too, deserve access to great healthcare.
  • AFP retirement plan—to help you save for the future.
  • We will assign a computer in the office so you can have the best tools to do your job.
  • You will have all the benefits of the Coworking space located in Lima - Miraflores (Free beverage, internal talks, bicycle parking, best view of the city)
  • Flexible Schedule and Work Policy.
  • This position is also open for candidates with some kind of disabilities that are part of the CONADIS list. The coworking is adequate for people with special mobility needs.

Outdoors The premises have outdoor spaces such as parks or terraces.
Accessible An infrastructure adequate for people with special mobility needs.
Flexible hours Flexible schedule and freedom for attending family needs or personal errands.
Internal talks OpenLoop offers space for internal talks or presentations during working hours.
Life insurance OpenLoop pays or copays life insurance for employees.
Paid sick days Sick leave is compensated (limits might apply).
Bicycle parking You can park your bicycle for free inside the premises.
Health coverage OpenLoop pays or copays health insurance for employees.
Retirement plan OpenLoop pays or matches payment for plans such as 401(k) and others.
Dental insurance OpenLoop pays or copays dental insurance for employees.
Computer provided OpenLoop provides a computer for your work.
Performance bonus Extra compensation is offered upon meeting performance goals.
Personal coaching OpenLoop offers counseling or personal coaching to employees.
Informal dress code No dress code is enforced.
Recreational areas Space for games or sports.
Beverages and snacks OpenLoop offers beverages and snacks for free consumption.
Vacation on birthday Your birthday counts as an extra day of vacation.
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