Inovalon · 3 hours ago
Enrollment Specialist III
Inovalon is a company focused on empowering the transformation of the healthcare ecosystem through data-driven solutions. The Enrollment Specialist III is responsible for managing the enrollment process for clients in Claims Management, ensuring compliance and addressing customer inquiries while improving overall enrollment efficiency.
AnalyticsHealth CareInformation Technology
Responsibilities
Works the enrollments setup inbox, processing approval and rejection emails from the payers, processing EDI and ERA enrollment forms at the provider or colleague request and processing EDI and ERA forms when there are no payer agreements to generate
Works directly with the Implementation Supervisor to identify customer enrollment issues and improve the enrollment process
Answers incoming customer calls regarding Salesforce cases, status checks, missing ERA’s, processing of the Enrollment forms and general enrollment questions
Generate .pdf documents where applicable
Works the Aggregator Setup Inbox by processing any enrollments that come in and researching missing electronic remittances
Provide assistance to Enrollment Representatives with internal questions and training on day-to-day operations
Prepares and sends all spreadsheets for enrollment of electronic remittances to all appropriate recipients
Other duties assigned by the Implementation team supervisor
Maintain compliance with Inovalon’s policies, procedures and mission statement
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer
Qualification
Required
2-4 years of experience in call center or related experience
High School diploma or G.E.D. required
Excellent verbal and written customer service skillset
Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail
Ability to work efficiently in a fast–paced environment
Ability to work independently, assisting others as needed
A strong team player with the ability to interact effectively with all parts of the organization
Preferred
Healthcare EDI Knowledge preferred
Knowledge of Insurance Payer Forms and Insurance Billing preferred
Proficient in use of Microsoft Office suite (MS Word, MS Excel, MS Outlook and PowerPoint)
Proficient in working with Adobe Reader
Proficient in working with CRM systems (Salesforce Preferred)
Experience in working with Operating Systems such as Linux and Windows
Associate's degree preferred
Benefits
Health insurance
Life insurance
Company-paid disability
401k
18+ days of paid time off
Company
Inovalon
A technology company combining data analytics and targeted interventions to achieve meaningful impact across the healthcare landscape.
Funding
Current Stage
Public CompanyTotal Funding
unknown2021-08-19Acquired
2015-02-12IPO
Recent News
Business Wire
2025-12-04
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