Provider Enrollment Specialist Jobs

About The Position

Requirements

• Associate's degree in a related area of assignment, or equivalency.
• Three years of experience in professional support.
• Excellent written and verbal communication and customer service skills, including professional telephone skills.
• Good organizational skills and attention to detail.
• Self-motivation and good time-management and organizational skills.
• Ability to read and interpret basic to moderately complex documents, including operating and maintenance instructions, procedure manuals, and government or healthcare guidelines.

Nice To Haves

• Provider Enrollment experience.
• Ability to multitask in a busy office environment.
• Experience with Epic and Cactus system applications.

Responsibilities

• Prepare documents necessary to enroll physicians and non-physician providers with insurance carriers.
• Maintain additions, deletions, and changes to the Physician Enrollment file, including reviewing payer membership.
• Handle telephone communications and written correspondence with providers and fiscal intermediaries to facilitate the Provider Enrollment process.
• Maintain updated information according to insurance carrier requirements by contacting carriers and reviewing bulletins and other materials sent to providers.
• Work with the team on projects such as new start-ups, renewals, and re-credentialing applications required by insurance carriers.
• Prepare documents consistently and accurately.
• Communicate information for input into Cactus and Epic, including new providers and updates to provider information using the appropriate forms.
• Work enrollment issues.
• Work provider enrollment claims in Epic.
• Follow department and insurance payer guidelines when preparing documents.
• Report detected problems, errors, or changes in provider enrollment requirements.
• Comply with department and organization policies and insurance carrier guidelines.
• Perform other duties as assigned.