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Provider Enrollment Specialist Jobs

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
Provider Enrollment Specialist Jobs
By Methodist Le Bonheur Healthcare At , Memphis, 38104
Skill and proficiency with Microsoft Office and databases.
Ability to handle assignments independently and demonstrate analytical skills, human relations, problem solving and interpersonal contacts.
Ability to function with minimal supervision.
Provides administrative and technical support to the provider credentialing and re-credentialing process.
Conducts primary source of verification for prospective and current providers.
Responsible for administrative support duties for the department.
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 And Credentialing Specialist
By Bikham Information Technologies At , Remote
Knowledge and experience with CRMs
5+ years of experience in client-facing roles required
Knowledge of US Healthcare would be a big plus
Healthcare sales experience is a big plus
Working for a successful company where employees are highly respected and not micromanaged.
Being available to speak on the phone with providers and team members when needed during work hours.
Provider Enrollment Specialist - Washington
By Privia Health At United States
Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Must be able to function independently, possess demonstrated flexibility in multiple project management
The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.
2+ years’ experience in payer enrollment function
Verity or other credentialing experience preferred
Demonstrated skills in problem solving and analysis and resolution
Provider Enrollment Specialist Clerk
By Peraton At United States
May assist in the work of less experienced clerks.
Basic knowledge of the administrative methods, and an acumen to develop the required administrative skills of the job.
High School Diploma and a minimum of 1 to 2 years of experience.
Specific level of software skills as required by the work unit.
Previous Medicare Part B Provider Enrollment experience
Detail-oriented and have excellent verbal and written communications skills.
Provider Enrollment Specialist, Local Candidates Remote Option Available
By St. Luke's University Health Network At Allentown, PA, United States
REMOTE OPTION FOR LOCAL CANDIDATES at the discretion of management.
Makes and receives phone calls from providers and practice managers to help resolve payer issues and verify participating status.
Prepares provider enrollment applications and/or written link letters to be sent to payers
Updates & maintains database to show enrollment tracking, effective dates, provider numbers and correct provider demographics.
Scans and files all paperwork and documents to a shared folder for tracking purposes and proof of submission to payers.
Applies for New Jersey licensure for identified providers.
Provider Enrollment Coordinator Jobs
By VCU Health At Richmond, VA, United States
Licensure, Certification, or Registration Requirements for Hire: N/A
Licensure, Certification, or Registration Requirements for continued employment: N/A
Minimum of three (3) years of previous experience in a customer service and/or administrative position
Previous experience using various software applications including MS Office (Access, Word, Excel), e-mail, etc.
Previous experience with CMS, URAC, NCQA and JCAHO Standards
Previous credentialing and provider enrollment experience
Provider Enrollment Spec Ii (Remote)
By Mercy At Springfield, MO, United States

The Provider Enrollment Specialist II works with applicants, management and executives to complete the enrollment applications according to government regulations for all Physicians, Non-Physician ...

Provider Enrollment & Credentialing Specialist, Dentaquest
By DentaQuest At United States
Verify potential and existing providers licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.
Monitors and reports provider complaints and utilization management reports
Assist management in the implementation of department process improvements.
Assist with the ongoing NCQA certification activities.
Associate degree or equivalent experience required.
Excellent oral and written communication skills.
Provider Enrollment Specialist-Florida Jobs
By Privia Health At United States
Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Must be able to function independently, possess demonstrated flexibility in multiple project management
The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.
2+ years’ experience in payer enrollment function
Verity or other credentialing software experience preferred
Demonstrated skills in problem solving and analysis and resolution
Provider Enrollment Specialist Jobs
By Grow Therapy At United States
Work with the Revenue Cycle Management team on any Credentialing related claim denials.
You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:
Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
Flexible working hours and location (remote OR in-office, your choice!)
In-office lunch and biweekly remote lunch on us!
Monitor the follow up process applications, and communicate with the payors directly to ensure that applications are staying on-track.
Provider Enrollment Specialist - Remote
By US Anesthesia Partners, Inc. At , Remote
Two years of enrollment experience including Medicare and Medicaid experience.
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
Maintain the accuracy of provider NPPES and CAQH accounts.
Populate and prepare enrollment applications for providers.
Responsible for following up on outstanding enrollment information and/or paperwork from providers.
Review provider applications for accuracy and completeness.
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
Provider Enrollment Support Coordinator (Dentaquest) Remote
By DentaQuest At United States
2 years of experience in business environment.
Excellent verbal and written communication skills.
Proficiency in the use of Cactus credentialing software preferred.
High School diploma or equivalent
Proficient in the use of Excel.
Proficient in general computer software (Word, Outlook, PowerPoint).
Provider Enrollment Specialist -Remote
By Gainwell Technologies LLC At , , Ct $32,700 - $40,900 a year
Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
2 or more years of customer service experience in any industry
Knowledge of basic help desk software, computer software and Microsoft Office applications
Strong problem-solving skills to bring inquiries to effective resolution
Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
Provider Enrollment Quality Control & Training Lead
By BlueCross BlueShield of South Carolina At , Columbia, Sc
One (1) year of PIMS (Provider Information Management Systems) experience
Conduct training needs analysis based on quality control results. Recommend training materials and subject matter to management.
2 years of provider network enrollment/certification experience.
Bachelor's degree in any major. or 4 years of job-related work experience.
Our comprehensive benefits package includes:
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
Provider Enrollment Specialist Jobs
By NOCD Inc. At ,
Maintains up-to-date knowledge of regulations and policies related to provider enrollment
Provides guidance to providers on the enrollment process and requirements
Knowledge and understanding of the enrollment, credentialing and billing processes.
College education (degree a plus)
Computer skills and Excel, Word, Google Suite, Adobe DC Pro, and others
The individual will have excellent communication and documentation skills and be able to follow direction and instruction
Project Manager Provider Enrollment Medicaid - Remote
By UnitedHealth Group At , Springfield, 62702, Il
5 + years of project management experience
Proven solid organizational and time management skills
Applies knowledge of provider enrollment business processes and areas of expertise relative to the enrollment and maintenance of Medicaid providers
Works with Project Manager to organize review of project information and documentation including Lessons Learned
5+ years of Medicaid experience
2+ years of provider enrollment experience
Provider Enrollment Specialist Jobs
By Ventra Health, Inc. At , Remote $19 - $22 an hour
Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team
Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred
Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications
At least one (1) year of provider enrollment experience preferred
Working knowledge of physician HIPAA Privacy & Security policies and procedures
Strong oral, written, and interpersonal communication skills

Are you looking for an exciting and rewarding career as a Provider Enrollment Specialist? We are looking for a motivated individual to join our team and help us ensure that our providers are enrolled in the right programs. You will be responsible for verifying provider information, submitting applications, and ensuring compliance with all applicable regulations. If you are detail-oriented and have excellent communication skills, then this is the perfect job for you!

Overview:

Provider Enrollment Specialists are responsible for the enrollment of providers into health care networks. They are responsible for verifying provider credentials, collecting and verifying provider information, and ensuring that providers meet all requirements for enrollment. They also work with providers to ensure that they are compliant with all applicable laws and regulations.

Detailed Job Description:

Provider Enrollment Specialists are responsible for the enrollment of providers into health care networks. They are responsible for verifying provider credentials, collecting and verifying provider information, and ensuring that providers meet all requirements for enrollment. They also work with providers to ensure that they are compliant with all applicable laws and regulations. They must be able to interpret and explain complex regulations and policies to providers. They must be able to effectively communicate with providers and other stakeholders to ensure that all requirements are met.

What is Provider Enrollment Specialist Job Skills Required?

• Knowledge of health care regulations and policies
• Excellent communication and interpersonal skills
• Ability to interpret and explain complex regulations and policies
• Attention to detail
• Ability to work independently and in a team environment
• Ability to manage multiple tasks and prioritize
• Proficiency in Microsoft Office Suite

What is Provider Enrollment Specialist Job Qualifications?

• Bachelor’s degree in health care administration, business administration, or related field
• At least two years of experience in health care administration or related field
• Knowledge of health care regulations and policies
• Ability to interpret and explain complex regulations and policies

What is Provider Enrollment Specialist Job Knowledge?

Provider Enrollment Specialists must have a thorough understanding of health care regulations and policies. They must be able to interpret and explain complex regulations and policies to providers. They must also be knowledgeable of the enrollment process and be able to effectively communicate with providers and other stakeholders.

What is Provider Enrollment Specialist Job Experience?

At least two years of experience in health care administration or related field is preferred. Experience in provider enrollment is a plus.

What is Provider Enrollment Specialist Job Responsibilities?

• Verify provider credentials and collect and verify provider information
• Ensure that providers meet all requirements for enrollment
• Work with providers to ensure that they are compliant with all applicable laws and regulations
• Interpret and explain complex regulations and policies to providers
• Communicate with providers and other stakeholders to ensure that all requirements are met
• Manage multiple tasks and prioritize
• Maintain accurate records and documentation