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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