About this opportunity
nTech Workforce lists this Enrollment Technician opportunity in las vegas, Nevada. Review the employer’s description below for duties, qualifications and application requirements.
Job description
***************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: EXT: 726
E:
preetam(at)ntechworkforce(dot)com
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.