Provider Enrollment Specialist

 
Location: Austin, Texas
Posted On: 6/5/2017
Job Code: PES_TX_3380
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Job Description
 
Position Details:
Job Title: Provider Enrollment Specialist
Job Location: Austin, TX, 78727
Job Duration: 6 months + Possibility of extension
Shift Timing: Any 8 hours from 7 AM – 7 PM (Monday- Friday)

Job Description:
• High school degree or GED required, 2 years college preferred (emphasis on Business Administration or Healthcare Management) or equivalent work experience
• Experience in processing enrollment applications in Healthcare Insurance market, Workers Comp market, or Medicaid market.
• Interact professionally with providers and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs(including dental, vision, ambulance, physicians, nurses and all other provider types)
• Process to completion 100% of assigned applications utilizing documented work instructions daily and meet minimum daily quotas
• Data entry (of paper applications) with validation of provider submitted enrollment information to insure the enrollment application meets the minimum standards
• Send out deficiency letters to notify providers of incomplete/inaccurate application.
• Revise existing deficiencies based on QA audits
Category:Non-IT  code:new
 
 
Job Requirements
 
 
High school degree or GED required, 2 years college preferred (emphasis on Business Administration or Healthcare Management) or equivalent work experience
• Experience in processing enrollment applications in Healthcare Insurance market, Workers Comp market, or Medicaid market.
• Interact professionally with providers and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs(including dental, vision, ambulance, physicians, nurses and all other provider types)
 

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Contact Details
 
Recruiter
Rahul Solanki
 
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