• Job Description

  Req#: R2025-007105

  The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members at more than 1,300 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.

  Due to continued growth, we are looking to add a Provider Enrollment Specialist. The Provider Enrollment Specialist plays a vital role within our Payor Strategy Team. This position will be responsible for ensuring that Aspen providers are enrolled with assigned dental plans and remain active. The successful candidate will report to the Provider Enrollment Manager.

  Team Functions

  • Identifying when system updates are required for a dental office to provide high quality patient services and making those updates, when possible.
  • Coordinating with the system maintenance team when system updates are beyond the scope and/or ability of the Field Support Team.
  • Providing real-time support to office staff for accurate estimations via ServiceNow requests.
  • Ensuring a positive and helpful experience for dental office staff when they reach out with system or insurance questions.

  Essential Responsibilities

  • Submit and process initial enrollment applications and re-enrollment applications to assigned plans.
  • Proactively maintain files and complete re-enrollment to avoid any lapse in provider participation.
  • Maintain organized and complete files of all relevant documentation + applications.
  • Responsible for following up on outstanding enrollment information and/or paperwork from providers to ensure timely processing.
  • Utilize knowledge + skill set to complete all enrollment documentation with a high degree of accuracy to avoid denials.
  • Track and follow up on enrollment or re-enrollment applications with payers until provider enrollment or re-enrollment is completed.
  • Responsible for provider file maintenance with the payers, including but not limited to provider name changes, required attestations and any other payer required data.
  • Establish and maintain professional working relationships with key contacts, both internal (Revenue Cycle Management, Providers, Credentialing, etc) and external (dental plans).
  • Work closely with RCM and Operations to ensure reimbursement is accurate and quickly resolve any escalated items.
  • Demonstrate exemplary customer service to our plan partners, providers and other TAG employees.
  • Meet targeted enrollment deadlines.
  • Communicate risk to leadership as soon as identified.
  • other duties as requested.

  Experience

  • High School Diploma or equivalent required, College Degree preferred.
  • 5 years of relevant dental or insurance plan experience
  • Excellent verbal & written communications
  • Excellent time management, prioritization and organizational skills a must.
  • Detail oriented with a strong level of analytical, and problem-solving skills
  • Proficient use of Microsoft Office Suite, particularly Excel

  Hourly Pay Range: $24-26/hr

  A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match

  Hourly Pay Range: $24-26/hr

  A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match

• About the company

  Aspen Dental Management, Inc. is a dental support organization, a dental practice management corporation that provides business support and administrative services in the US. Its headquarters is in DeWitt, New York.

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