Provider Enrollment Rep-711031

GuideWell Source

54d • Remote

About The Position

Are you interested in joining a team of experienced healthcare experts and have
the ability to shape and transform the healthcare delivery system? At our family
of companies, everything we do is to help improve the lives of the nearly 12
million Medicare beneficiaries we serve and 700,000 health care providers who
care for them. It is our goal to help create a better health experience for all
consumers. Join our winning culture and help transform Medicare for the millions
of people who rely on its services.

SUMMARY STATEMENT
This position is responsible for the integrity of the Medicare Part A and or B
Provider files. This position will review applications and ensure compliance
with CMS regulations and internal procedures and protocols.

Requirements

• High school diploma or GED
• 1 year work experience in a customer service role and/or one year work experience in a position where the applicant has used a computer and Microsoft Office.
• Proficiency with PC's and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
• Effective written and verbal communication skills
• Demonstrated skills in reading comprehension
• Demonstrated problem solving and research skills
• Demonstrated attention to detail
• Strong organizational/time management and interpersonal skills

Nice To Haves

• Provider enrollment experience
• Experience working in a production environment while achieving quality requirements

Responsibilities

• Process submitted provider applications: (90%) Obtain additional information via telephone or in writing.
• Research and validate information as needed to complete enrollment application.
• Determine if both state and federal regulatory requirements are met.
• Review supporting documentation for adequacy; make final determination/recommendation on application.
• Create enrollment records in applicable system(s).
• Make any updates in system as necessary.
• Establish Electronic Funds Transfer (EFT) of provider Medicare payments.
• Research and respond to application specific or general provider enrollment written inquiries.
• Perform other supportive activities, attend Provider Enrollment and company sponsored meetings, and attend training sessions. (10%)
• Performs other duties as the supervisor may, from time to time, deem necessary.

Benefits

• Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
• Short- and long-term disability benefits
• 401(k) plan with company match and immediate vesting
• Free telehealth benefits
• Free gym memberships
• Employee Incentive Plan
• Employee Assistance Program
• Rewards and Recognition Programs
• Paid Time Off and Paid Sick Leave

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED