Provider Enrollment Specialist Clerk Jobs

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

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.

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

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.

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

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.