This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6889119

Castle Biosciences Earns a Top Workplaces USA Award for the Third Consecutive Year!

You won\'t find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle!

Castle Biosciences Inc.is growing, and we are looking to hire aReimbursement, Payer Enrollment Specialist working remotely from your USA home-based office,with a start date prior to April 3, 2025.

We are in search of someone who strives for excellence in their work with a positive, can-do attitude! If this sounds like the right opportunity for you in the essential biotech field, consider applying today! Learn more atwww.CastleBiosciences.com

EXCEPTIONAL BENEFIT PACKAGE

Excellent Annual Salary + Achievable Annual Bonus Potential 20% of Salary + 20 accrued PTO Days annually

401K with a 100% Company match of up to 6% of your allowable Contribution, and No Waiting Period

3 health care plan options, with very low premium cost + Company HSA Contribution with HDHP option + Company Stock Grant Upon Hire

A DAY IN THE LIFE OF Reimbursement, Payer Enrollment Specialist,

The Payer Enrollment Specialist is responsible for managing all enrollment-related activities for Medicaid, Medicare, and commercial payers. This includes adding new payers to Telcor, handling registration and employee access to payer portals, and maintaining the Payer Portal, EDI, and Medicaid tracking sheets. This role primarily involves performing administrative and technical duties necessary to prepare and complete enrollment and re-enrollment applications within established time frames, ensuring compliance with the standards required by Medicare, Medicaid plans, commercial payers, and other third-party entities for Castle and its subsidiaries. Responsibilities include Medicaid credentialing and recredentialing, electronic professional claims, ERA, EFT, and portal and website enrollments. Additionally, the Payer Enrollment Specialist oversees Payer Portal Registration & Management, researching portal availability and capabilities for payers, acting as the primary administrator for registering Castle, its subsidiaries, and associates on payer portals, assisting with password resets, and completing renewal activities to maintain portal access. The specialist ensures that enrollment and continued enrollment activities are completed in a timely manner while maintaining internal files, including copies of current payer enrollment documentation, the Commercial and Medicaid Payer Enrollment spreadsheet, the Payer Portal and Contact Guide, the Billing and Appeal Team Medicaid Enrollment tracker, and the Portal Access tracking sheet.

REQUIRED QUALIFICATIONS

Minimum Requirements

3 years + experience in credentialing role, with proven experience in managing and completing EDI and EFT enrollment activities.

Working knowledge of payer credentialing rules, portals and regulations.

Detailed oriented, with the ability to prioritize and coordinate the completion of several activities/projects simultaneously.

Demonstrated, extensive knowledge of state license requirements, primary source verification as well as credentialing and database maintenance.

Ability to develop and manage credentialing independently.

Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude.

Demonstrate strong critical thinking and problem-solving skills in an ambiguous and dynamic environment.

Must be able to function independently and on a team, possess demonstrated flexibi lity in multiple project management capabilities.

Must comply with HIPAA rules and regulations.

Actively displays behaviors that support the mission, vision, and values of Castle Biosciences.\ \

ABOUT CASTLE BIOSCIENCES INC.

At Castle, it all comes down to people. After all, disease doesn\'t just happen - it happens to people. We believe that disease management and treatment decisions can be better informed through a person\'s unique biology, which is revealed through the scientific rigor of our innovative, laboratory-developed tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes.

Every employee at Castle has an impact on patient care, and we work to ensure that everyone finds their work to be bothchallenging and rewarding. We behave withintegrityand treat our colleagues withrespect and kindness. Our culture fosters anenvironment of trust, transparency, and collaboration. We prioritize and encourageinternal growth