Provider Enrollment Specialist

InfinxMobile, AL
6dOnsite

About The Position

Under the direction of the Provider Enrollment Manager, the Provider Enrollment Specialist will be responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in all private practice or group settings.

Requirements

  • High School Diploma or equivalent
  • Ability to work in office in Mobile, AL
  • Experience in provider enrollment/credentialing preferred
  • Knowledge of PECOS, CAQH, Medicare/Medicaid, and commercial payers preferred
  • Proficiency in Microsoft Word, Excel, Outlook, PDF Software, Smartsheets, and other management tools
  • Motivated to quickly learn and demonstrate strong problem-solving skills
  • Strong project management and multitasking skills
  • Excellent interpersonal and communication skills
  • Strong writing skills and attention to detail
  • Strong organizational skills and ability to be attentive to details

Responsibilities

  • Prepare and submit Governmental and Private Carrier applications for initial submission and re-credentialing and follow-up as needed
  • Acquire and process new Managed Care Agreements
  • Maintain detailed log of all pending and completed work
  • Apply and update NPI Numbers through the NPI Website
  • Apply and maintain EDI, EFT, & ERA processes
  • Maintain strictest confidentiality
  • Follow established policies and procedures listed in the Employee Handbook, Compliance, and HIPAA Manuals
  • Performs other duties as assigned or required

Benefits

  • Access to a 401(k) Retirement Savings Plan.
  • Comprehensive Medical, Dental, and Vision Coverage.
  • Paid Time Off.
  • Paid Holidays.
  • Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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