Provider Enrollment Specialist
About The Position
Seeking candidates who excel in providing exceptional customer service to individuals over-the-phone and enjoy working in a fast-paced call center environment. The Claims Technician position has two primary functions, to answer incoming customer service calls from the medical community and public regarding provider enrollment credentialing, and other related information to enroll medical providers into the Medicaid system. The technician responds to phone, electronic, fax and mail inquiries regarding the status of provider applications, and explains and interprets Medicaid policies, guidelines, benefits and procedures regarding Medicaid. The Claims Technician is required to be logged into the phone system for up to 7 hours/day and takes between 40 to 60 calls a day.
Requirements
- Must successfully pass a criminal history check.
- Must reside in Utah or be in the process of relocating to Utah within 30 days of their start date.
Nice To Haves
- Spanish speaking skills
- Prior professional working experience with provider enrollment or credentialing
Responsibilities
- Answers customer service calls regarding provider enrollment applications, credentialing and validations from providers.
- Enters, retrieves and/or corrects applications as needed in the PRISM system.
- Receives, researches and responds to incoming questions or complaints; provides information, explains policy and procedures, and/or facilitates a resolution.
- Prepares supporting documentation for policy/procedure changes for policy review.
- Writes or drafts correspondence, reports, documents and/or other written materials.
Benefits
- Job Stability
- Career Growth
- Meaningful Work
- Supportive Work Environment
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
