Provider Enrollment Associate- Remote

Med Metrix•Parsippany-Troy Hills, NJ

1d•Remote

About The Position

The Provider Enrollment Associate is responsible for credentialing/enrolling new and established health care providers and maintenance of required information. Duties and Responsibilities Communicates with providers to explain process and sign applications Collects, updates, maintains necessary provider information and documentation and verifies the information where possible Establishes and maintains data entry in CAQH Prepares provider enrollment applications for all initial applications and re-credentialing in a timely and complete manner Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.) Coordinates information for enrollment and termination of all providers Handles enrollment with Medicare, Medicaid, commercial insurances Contributes to the departmental process and procedures with a collaborative approach Works department client WQ’s and smart feeds where applicable Maintains provider enrollment mailbox and completes actions and follow up Performs other duties as requested Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Requirements

High School graduate or equivalent required
Minimum two years of provider enrollment experience
Knowledge of Microsoft Office Suite, Outlook, Excel, CAQH
Excellent verbal and written communication skills
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Nice To Haves

Billing knowledge and experience preferred

Responsibilities

Communicates with providers to explain process and sign applications
Collects, updates, maintains necessary provider information and documentation and verifies the information where possible
Establishes and maintains data entry in CAQH
Prepares provider enrollment applications for all initial applications and re-credentialing in a timely and complete manner
Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.)
Coordinates information for enrollment and termination of all providers
Handles enrollment with Medicare, Medicaid, commercial insurances
Contributes to the departmental process and procedures with a collaborative approach
Works department client WQ’s and smart feeds where applicable
Maintains provider enrollment mailbox and completes actions and follow up
Performs other duties as requested
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties