Provider Enrollment Specialist

InfinxMobile, AL
6hOnsite

About The Position

Under the direction of the Provider Enrollment Manager, the Provider Enrollment Specialist will be r esponsible 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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