Provider Enrollment Specialist

Job Title : Provider Enrollment Specialist

Location : Austin TX 78727

Job Description : Responsibilities :

Offering Description : Interact professionally with providers and ancillary staff to provide appropriate and timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs.

Process Description :

Process to completion 100 percent of assigned applications and maintenance requests utilizing documented work instructions daily and meeting minimum daily targets.

Identify deficiencies to notify providers of incomplete and inaccurate applications revising existing deficiencies and sending corrections based on QA audits as required.

Respond to inquiries regarding the status of applications received.

May research and contact providers via phone to resolve enrollment application deficiencies.

Skills Description :

Mid to high level computer skills including the Microsoft Office suite of products

Professional with a minimum 1 year in a customer service and or data entry or related experience

Would be nice to have skills :

Minimum of 6 months of experience enrolling and credentialing healthcare providers.

Detail oriented and quality focus delivering timely assessments and data entry

Excellent verbal and written communication skills

Function independently and use critical thinking to analyze enrollments

Self motivated and independent while being able to accept direction with completion of tasks

Adapt to changes in strategy or approach as needed in a fast-paced innovative environment

Willingness to learn a variety of enrollment types

Commit to ongoing learning to maintain competence in assigned tasks

Roles and responsibilities :

Adhere to the Quality Assurance program in order to improve the daily processing of applications and file maintenance transactions with a minimum quality score.

Makes recommendations to management to improve efficiency and effectiveness of current processes. Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements.

Flexibility to work overtime as needed by daily production inventory requirements.

Perform other duties as assigned by leadership

Key Skills

Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS

Employment Type : Full Time

Experience : years

Vacancy : 1