Provider Enrollment Specialist Jobs
By MCR Health, Inc At Bradenton, FL, United States
Working knowledge of Managed Care and insurance payor plans required
1+ years' experience in provider enrollment required (2+ preferred)
1+ years' experience using an electronic credentialing software preferred (Cactus a plus)
Experience with delegated credentialing preferred
Excellent listening and interpersonal skills
Complete insurance enrollment applications for our new providers
Remote Provider Enrollment Specialist Ii
By Envision Healthcare At , Fort Lauderdale, 33309
Manage roster submission, review, and data entry.
Partner with Manager to communicate any payer maintenance activity updates required.
Demonstrate a systematic approach in carrying out assignments; methodical in planning and performing; effective prioritization skills.
1-2 years of experience as described.
Working knowledge of Microsoft Office Suite and Provider Enrollment proprietary software.
is a remote position, allowing the
Provider Enrollment Specialist Jobs
By Medical Specialists of the Palm Beaches Inc At , Boynton Beach, 33437, Fl
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Tracks license and certification expirations for all providers to ensure timely renewals.
Excellent written and oral communication skills.
Strong organizational, problem-solving, and interpersonal skills.
Ability to manage priorities and workflow.
One to two years of related experience
Member Enrollment Coordinator Jobs
By PrudentRx At Tampa, FL, United States
Complete all necessary continued learning and training requirements per department and company need
1 to 2 years Call Center experience in fast-paced setting
Excellent written and communication skills
Experience with Salesforce or other CRM software
Shift start times range from 10:00a - 11:30am Est Monday- Friday [Excepting applicants in EST, CST, MST time zone]
Equipment and hardware provided. Interviewing, orientation, and training are conducted virtually.
Provider Enrollment Specialist Jobs
By Quigley Health Services At , Fort Myers, 33907, Fl

Administration Office - Fort Myers, FL

Provider Enrollment Specialist Jobs
By Nemours At , Jacksonville, 32256, Fl
Will assist with special priority projects and other miscellaneous duties and responsibilities, as assigned my employee's supervisor or department leadership.
Associate Degree or equivalent work experience in the field of provider enrollment or similar field required.
Minimum one (1) year of experience required.
Performs follow up with health plans and their representatives in order to expedite participation approval by each health plan.
Develop and maintain relationships with Network Representatives in order to facilitate the provider enrollment/re-enrollment processes.
Responsible for sending enrollment applications to providers, as appropriate, in order to maintain signatures and demographic information.

Are you looking for an exciting opportunity to join a dynamic team and make a difference in the healthcare industry? We are looking for an experienced Provider Enrollment Coordinator to join our team! As a Provider Enrollment Coordinator, you will be responsible for managing the provider enrollment process, ensuring accuracy and compliance with all applicable regulations. You will also be responsible for providing customer service to providers and other stakeholders. If you are a detail-oriented individual with excellent communication and organizational skills, we want to hear from you!

Overview:

Provider Enrollment Coordinators are responsible for ensuring that healthcare providers are enrolled in the appropriate insurance plans and that all necessary paperwork is completed and submitted in a timely manner. They must be knowledgeable about the various insurance plans and regulations, and must be able to effectively communicate with providers and insurance companies.

Detailed Job Description:

Provider Enrollment Coordinators are responsible for managing the enrollment process for healthcare providers. This includes researching and evaluating different insurance plans, completing and submitting enrollment applications, and ensuring that all necessary paperwork is completed and submitted in a timely manner. They must also be able to effectively communicate with providers and insurance companies, and must be knowledgeable about the various insurance plans and regulations.

What is Provider Enrollment Coordinator Job Skills Required?

• Knowledge of insurance plans and regulations
• Excellent communication and interpersonal skills
• Attention to detail
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Proficiency in Microsoft Office

What is Provider Enrollment Coordinator Job Qualifications?

• Bachelor’s degree in a related field
• Previous experience in a healthcare setting
• Knowledge of insurance plans and regulations
• Ability to work independently and as part of a team

What is Provider Enrollment Coordinator Job Knowledge?

• Knowledge of insurance plans and regulations
• Knowledge of healthcare industry
• Knowledge of medical terminology
• Knowledge of HIPAA regulations

What is Provider Enrollment Coordinator Job Experience?

• Previous experience in a healthcare setting
• Previous experience in a customer service role
• Previous experience with insurance plans and regulations

What is Provider Enrollment Coordinator Job Responsibilities?

• Research and evaluate different insurance plans
• Complete and submit enrollment applications
• Ensure that all necessary paperwork is completed and submitted in a timely manner
• Communicate with providers and insurance companies
• Monitor enrollment status and ensure accuracy
• Maintain accurate records and update databases