Escalation Support Senior Analyst
About The Position
Provider Enrollment Escalation Support Senior Analyst, L10. Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent and innovation led company with 738,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Accenture Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients succeed and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners, and communities.
Requirements
- Minimum 2 years of experience in provider enrollment of healthcare providers or 1 year of insurance experience.
- Excellent verbal and written communication
- Ability to prioritize multiple tasks of high importance
- Proficiency with MS Office, Phoenix, PPM
- Organizational and time management skills
- Strong analytical and problem-solving skills
- Ability to thrive in a deadline driven environment
- Attention to detail
- High School Diploma or GED
Nice To Haves
- Prior Provider Enrollment experience is preferred
- Experience with State and internal department interactions is preferred
Responsibilities
- Process and respond to State Action Requests (SARs) received from the State for Provider Enrollment as assigned within the specified due dates; escalate to leadership as necessary.
- Submit informational or directional requests on behalf of Provider Enrollment (PE) as Vendor Initiated Correspondence (VICs), to State staff regarding enrollment issues, clarification, or any other item that requires State notification or direction.
- Review, re-assign, and process 100% of assigned applications utilizing documented work instructions within the specified due dates, including but not limited to, denied applications, informal desk review (IDR) requests, and IDR requests returned from the State with a final decision.
- Interact professionally with providers, internal and State staff to provide appropriate and timely responses to inquiries, concerns, or assistance regarding provider enrollment and/or file maintenance for the Texas State Health-Care Programs.
- Manage and monitor SAR Coordinator inventory and deliverables to ensure compliance with contractual requirements.
- Adhere to the highest quality standards on all worked performed.
- Act as PE Subject Matter Expert (SME) for audit requests.
- Coordinate modifications to PE reporting deliverables as needed.
- Make recommendations to management to improve efficiency and effectiveness of current manual processes through systemic modifications
- Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements
- Perform other duties as assigned by leadership.
Benefits
- medical, dental, vision, life, and long-term disability coverage
- a 401(k) plan
- bonus opportunities
- paid holidays
- paid time off
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
