Provider Enrollment Specialist

New
B
Broadway VenturesHealthcare enrollment
Remote, USA. Candidates must live in and work from an eligible U.S. state when they are hired and for as long as they are employed.Full-Time
Salary20 USD per hour
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Job Details

Required Skills
Microsoft OfficeCustomer serviceAnalytical thinking

Requirements

  • Have CMS 855 application management experience.
  • Have experience using PECOS.
  • Have customer service representative experience.
  • Have previous provider enrollment experience for Medicare.
  • Have a high school diploma or equivalent.
  • Be proficient with word processing.
  • Have Microsoft Office skills.
  • Demonstrate judgment, organization, and customer service skills.
  • Have clear verbal and written communication and solid grammar, spelling, and punctuation skills.
  • Have basic business math competency and analytical and critical thinking ability.
  • Exercise discretion when handling confidential information.
  • Be willing to undergo and pass an EAU CMS background check, including fingerprinting.

Responsibilities

  • Review and validate initial, re-enrollment, reactivation, and update medical provider enrollment applications.
  • Verify provider data using internal databases and external agencies.
  • Set up and test EFT accounts.
  • Enter and update provider information in enrollment databases and directories.
  • Communicate with providers, agencies, and internal departments to resolve discrepancies.
  • Supply application materials and process guidance to potential enrollees.
  • Assist with special projects, process improvements, provider education, and system testing.
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20 USD per hour
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