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.

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