Provider Enrollment Specialist

Conduent•Concord, NH

3d•Onsite

About The Position

This role involves entering and maintaining provider applications, revalidations, and updates into the system, as well as managing all provider information in the database. The specialist will verify required documentation, meet established turnaround times and accuracy rates, and conduct outreach to providers via email and phone. Additionally, the role requires assisting providers with resolving Provider Enrollment issues and inquiries, and performing other duties as assigned while complying with all policies and standards.

Requirements

Proficient in the use of MS Office products.
Ability to learn new software programs quickly.
Excellent customer service skills.
Excellent verbal and written communication skills with co-workers and providers.
Proven ability to work well individually and as a team member.
Organizational skills.
Strong attention to detail.
High school diploma or equivalent.
1–2 years of experience in business environment.

Nice To Haves

Associate’s degree or higher preferred.
Provider credentialing experience a plus.

Responsibilities

Enter and maintain provider applications, revalidations, and updates into the system.
Enter and maintain all provider information into database.
Verify required documentation.
Meet established turnaround times and accuracy rates.
Outreach providers via email and by phone.
Assist providers with resolving Provider Enrollment issues and inquiries.
Assist with other duties as assigned.
Comply with all policies and standards.