Payer Follow Up

We don’t just have a mission statement…we have a mission.

At Refresh Mental Health our commitment to optimal mental health and steadfast support extends to every member of our team.

Refresh Mental Health realizes the strength of our practice is our exceptional staff. We support our employees in building a thriving and profitable workload upon a culture of values of innovation, professionalism, and healthy work/life balance. We are currently seeking a Payer Follow Up for a full-time position.

We are looking for a unique candidate to join our payer follow up team. This team is responsible for timely and effective follow up on enrollment applications. The Enrollment follow up caller is a person that makes calls to external payer contacts following company guidelines to obtain payer statuses on all of our provider enrollments. This role will support enrollment follow up functions that contribute to effective and efficient turn around times for provider enrollment.

Responsibilities:

• Understanding of enrollment processes and language.
• Prepares reports, memos, letters, and other documents.
• Reads and analyzes incoming requests, and distributes them as needed.
• Files and retrieves enrollment follow-up data and records, documents, and reports.
• Research data to prepare documents for review and presentation by directors, committees, and executives.
• Uses various software, including Microsoft Office (Excel, Word and Power Point, spreadsheets, databases, and presentation software.
• Provides general administrative enrollment support.

Requirements:

• Minimum Bachelors Degree.
• At least 3 years’ experience in a Managed Care/Enrollment environment on the provider and/or payer side.
• Working knowledge of Managed Care operations and procedures.
• In-depth understanding of entire MS Office suite.
• Ability to organize a daily workload by priorities.
• Must be able to meet deadlines in a fast-paced quickly changing environment.
• A proactive approach to problem-solving with strong decision-making skills.
• Professional level verbal and written communications skills.
• Ability to learn and adapt to continuously changing business and technology needs.
• Ability to work remotely and independently.

A Career with Refresh Mental Health offers:

• Healthcare, dental, vision and life insurance benefits
• Generous vacation and sick leave
• 401K with employer match
• Fully remote work opportunity
• Exciting career with a growing company!

Refresh Mental Health is an Equal Opportunity Employer that values a diverse workplace. We are committed to building a team that is inclusive of all people, including those of LGBTQIA+ communities, members of all ethnic groups, people with disabilities and medical conditions, foreign-born residents, and veterans. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Refresh is also committed to compliance with all fair employment practices regarding citizenship and immigration status