***************MUST HAVE FACETS experience*************
Title: Enrollment Technician
Location: Baltimore, MD 21224 (Hybrid)
Duration: 6 Months Contract
Job Description:
- Terms of Employment
- W2 Contract, 6 months
- This position is remote.
Overview:
- Work with a leading healthcare organization as an Enrollment Technician 2 within the Payment Integrity team. In this role, you will play a vital part in reviewing medical documentation, routing claims accurately using key health data indicators, and utilizing specialized industry tools to maintain efficient workflow tracking.
Key Responsibilities:
- Review and process medical documentation queues by identifying relevant keywords to route claims appropriately.
- Navigate case details within Facets using DCN numbers and create/update corresponding cases.
- Upload medical records and associated documentation into a vendor-hosted payment integrity application (Nucleus).
- Track, monitor, and move medical document cases through various stages of the workflow path.
- Utilize Microsoft Excel to manage daily tracking logs, document statuses, and queue progression.
Required Qualifications:
- Minimum of 5 years of professional experience in healthcare enrollment or claims processing.
- Direct hands-on experience using the Facets core administration system.
- Strong working proficiency with Microsoft Excel for data entry, tracking, and queue management.
- Proven ability to perform document review, keyword identification, and case routing.
Preferred Qualifications:
- Experience utilizing vendor-hosted payment integrity applications (such as Nucleus).
- Prior experience working in a fully remote environment handling health insurance documentation.
Sincerely,
Preetam Raj
Lead Technical Recruiter
nTech Workforce Inc.
D: 410-505-4857 EXT: 726
E: preetam@ntechworkforce.com
preetam(at)ntechworkforce(dot)com
Enrollment Technician in Baltimore at nTech Workforce
This position is listed as contract and able to be worked remotely. It was posted 3 days ago.