Provider Enrollment Representative

Description:

• Responsible for accurate setup of provider records to ensure proper payment for providers.
• Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.

Qualifications:

• Education: Bachelor's degree or an equivalent combination of education, training, and experience is required.
• Experience: 2 or more years of business experience in a managed care or healthcare setting is required.

Competencies, Skills, and Attributes:

• Ability to work as a team member, manage multiple tasks, be flexible, and work independently.
• Possess excellent organizational and problem-solving skills.
• Ability to accurately enter, proof, submit data and identify inaccurate data and process to resolution.
• Demonstrated competence using Microsoft Office products, especially Word, Excel, Outlook, Access, PowerPoint.
• Experience or knowledge of ONYX, FACETS, and/or similar provider data and/or claims processing system.
• Effective communication skills (verbal and written).