Medical Assistant, Berks Trust- Exeter Primary Care St. Luke's Health Network, Inc.
Reading, PA30+ days ago
- Full-time
| Location | West Norriton, PA |
Provider Enrollment Specialist at Quest Diagnostics
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Provider Enrollment Specialist
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Category Corporate Location West Norriton, Pennsylvania Job function Administration Job family Legal
Shift Day Employee type Regular Full-Time Work mode Remote
Job DescriptionProvider Enrollment Specialist - West Norriton, PA, Monday to Friday, 8:00 AM to 5:00 PMPay range: $60,500+ per yearSalary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.Benefits information: We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects - physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours Best-in-class well-being programsAnnual, no-cost health assessment program Blueprint for WellnesshealthyMINDS mental health programVacation and Health/Flex Time6 Holidays plus 1 "MyDay" offFinFit financial coaching and services401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of serviceEmployee stock purchase planLife and disability insurance, plus buy-up optionFlexible Spending AccountsAnnual incentive plansMatching gifts programEducation assistance through MyQuest for EducationCareer advancement opportunitiesand so much more!Manage, monitor and complete activities related to Provider Enrollment applications, revalidation updates and Credentialing applications as required by the Centers of Medicare & Medicaid Services (CMS) Department of Health (DOH) for Medicare, Medicaid, and Health Plan payers, for Quest, Diagnostics, its subsidiaries, joint ventures and their respective testing facilities. Drive process compliance, controls and standardization utilizing a Centers of Excellence methodology and tools to support and track all Provider Enrollment activities. Responsibilities: Review, prepare and submit requests for Medicare, Medicaid, and Health Plan payers to include completion of but not limited to: provider enrollment applications, revalidation requests, NPI enrollments, licensure updates, CAQH physician credentialing, health plan credentialing, attestations, and disclosures of ownership Engage with stakeholders such as Health Plans, Legal, Business Development, Compliance, Laboratory Operations and Optum to successfully complete enrollment requests and related activities Engage with payers directly to discuss enrollment issues, inquiries, updates and due dates of enrollment applications Review and monitor credentialing reports of enrolled physicians, facilities, and provider groups to proactively submit credentialing applications in advance of payer-defined enrollment/re-enrollment deadlines. Perform regular updates/additions to the Provider Enrollment Database to ensure enrollment reference data is up to date in advance of the enrollment process Manage all enrollment activities using worklists in a centralized web-based application such as CRM and finalize the signature process through established state Medicaid web portals and the DocuSign eSignature tool. Accurately and efficiently submit enrollment and credentialing applications Effectively manage and update status of enrollments by way of case creation and management Effectively communicate with agencies, health plans and internal stakeholders' on status of enrollments and credentialing applicationsQualifications: Required Work Experience: 3 + years'' relevant experience, including working knowledge of Medicare and Medicaid provider network requirements or health plan payer enrollments Relevant experience in large, complex organizations, commercial labs, or healthcare organizations Skills: Strong analytical and problem-solving skills Strong interpersonal skills; ability to work with external clients and multiple levels internal Ability to handle confidential or sensitive information with discretion Strong written & verbal communication Strong attention to detail Strong technical skills in MS Word and Excel Able to multi-task and perform in a fast-paced environment Lominger's Competencies: Customer Focus Organizational Savvy Learning on the Fly Problem Solving Dealing with Ambiguity Drive for Results EducationBachelor's Degree (Preferred)CompetenciesAction orientedBusiness acumenCustomer FocusedInterpersonal savvyOrganizingPriority SettingTime management66526Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
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What it's like to work here
Culture Our people contribute to fostering an inspiring and supportive workplace where we empower better health for our customers every day. Through our 11 Employee Business Networks (EBNs) employees can grow, connect, and contribute with professional development, mentorship, EBN program offerings, and community engagement. Each of our Quest Employee Business Networks is open to all employees. View more
Benefits We strive to ensure our people live a healthier lifestyle by offering programs and solutions that help you take care of yourself and those you love. Find out how our benefits give you everything you need to live your best life. View more
Corporate Social Responsibility Report We''re committed to promoting a healthier world, creating an inspiring workplace, and building value for all stakeholders. Discover how we''re making this happen in our annual reports. View more
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Students & early career | Quest Diagnostics Whether you are transitioning from high school, college or to civilian life after serving in the military, we have programs that can help you reach your goals - and share in the incredible work we do. At the same time, you'll be able to enjoy the satisfaction that comes with joining a network of 50,000 brilliant minds united by a shared passion to build a healthier future. View more
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Quest Diagnostics is an equal employment opportunity employer. Our policy is to recruit, hire and promote qualified individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any any other legally protected status . Quest Diagnostics observes minimum age requirements established by federal, state and/or local laws, and will ask an applicant for verification when deemed necessary. Quest Diagnostics is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please complete the accommodation request form.
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