Provider Enrollment Specialist
New
E
EnableCompRevenue Cycle Management
United States - RemoteFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 1+ years
- Required Skills
- Microsoft ExcelMS OfficeCustomer serviceData entry
Requirements
- High School Diploma or GED required; Associates or Bachelor’s Degree preferred.
- 1+ years’ experience in healthcare field working in billing or collections.
- 1+ years’ client facing/customer services experience.
- Intermediate level understanding of insurance payer/provider claims processing and data requirements.
- Thorough understanding of enrollment requirements and documents needed for application completion.
- Strong computer proficiency and experience with MS Office (Word, Excel, and Outlook).
- Proven ability to meet and/or exceed productivity targets and goals.
- Strong analytical and problem-solving skills.
- Must be a self-starter and able to work independently.
- Proven written and verbal communication skills.
- Regular and predictable attendance.
Responsibilities
- Collect, verify, and submit information necessary for the enrollment of hospitals/physicians with Out-of-State Medicaid payers.
- Develop and maintain ongoing policy and procedures specific to each state for new hospital/physician enrollments.
- Maintain working knowledge of hospital/physician Out-of-State Medicaid enrollment requirements and regulations.
- Submit re-enrollment applications in a timely manner to ensure hospitals/physicians are up to date with their enrollment status.
- Establish, maintain, and constantly review the accuracy of Out-of-State Medicaid requirements to ensure compliance with government rules and regulations.
- Manage work queue to ensure all timely submissions/deadlines of all payor-specific forms and documents.
- Maintain the provider file and communicate provider changes, corrections, and terminations documented in the database.
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