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OpenLoop

Enrollment Specialist (Back Office) en OpenLoop

FULL_TIME

Lima
Se trabaja íntegramente de manera presencial en: Lima
(Presencial) | Junior | Full time | Operaciones / Admin

Sueldo bruto $500 - 700 USD/mes

25 postulaciones
Responde entre 0 y 2 días
Revisado por última vez hace 2 días
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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 for american companies
  • 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

  • Exp working in the healthcare american system

Conditions

In addition to competitive salaries, this role includes:
  • 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.

Áreas al aire libre Las oficinas poseen espacios abiertos (parques, terrazas, etc).
Accesible OpenLoop ofrece espacios e infraestructura accesibles para personas con movilidad reducida.
Horario flexible Entrada y salida flexibles, libertad para realizar trámites personales o familiares.
Seguro de vida OpenLoop paga un seguro de vida para sus empleados.
Ausencia por enfermedad pagada Se ofrece cobertura por días no trabajados a causa de enfermedad (pueden aplicar límites).
Estacionamiento de bicicletas Hay un lugar privado para estacionar las bicicletas.
Cobertura de salud OpenLoop paga o copaga cobertura de salud adicional a lo legal.
Aporte a pensión La empresa contribuye con fondos para pensiones como 401(k) y otros.
Seguro dental OpenLoop paga o copaga un seguro dental.
Computadora OpenLoop proporciona una computadora para tu trabajo.
Vestimenta informal OpenLoop no exige ningún código de vestimenta.
Áreas recreativas Espacio para juegos o deportes.
Vacaciones extra OpenLoop otorga vacaciones pagadas adicionales al mínimo legal.
Bebidas y snacks OpenLoop ofrece algunas bebidas y snacks de libre disposición en la oficina.

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Customer Service English Jira Project Management Communication Organizational Skills Ticket Management Documentation Credentialing Healthcare Provider Enrollment Expirables Management Back Office Integration Operational Work Healthcare System
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Acerca de OpenLoop

Servicing all 42,000 zip codes nationwide, OpenLoop accelerates the delivery of patient care by matching our trusted community of certified clinicians and insurance partners with innovators in the digital health space. — Perfil completo de OpenLoop

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