Provider Enrollment Specialist Jobs

About The Position

Requirements

• CMS 855 application management experience
• PECOS utilization experience
• Customer service representative (CSR) experience
• Previous provider enrollment experience for Medicare
• High school diploma or equivalent required
• Proficiency with word processing
• Strong judgment, organization, and customer service skills
• Clear verbal and written communication
• Solid grammar, spelling, and punctuation skills
• Basic business math competency
• Analytical and critical thinking ability
• Discretion in handling confidential information
• Microsoft Office

Nice To Haves

• Associate's or Bachelor's degree preferred

Responsibilities

• Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates)
• Verify provider data via internal databases and external agencies; set up and test EFT accounts
• Enter and update provider information in enrollment databases and directories
• Communicate with providers, agencies, and internal departments to resolve discrepancies
• Supply application materials and process guidance to potential enrollees
• Assist with special projects, process improvements, provider education, and system testing
• Participate in growth and development opportunities within the role

Benefits

• 401(k) and company match
• PTO that grows the longer you stay
• Health, Vision, Dental
• Company provided Life Insurance and Voluntary Life Insurance
• Short Term Disability and Long Term Disability