Provider Enrollment Specialist Senior - HP Enrollment Eligibility

Summary:

Serves as a Payer Enrollment liaison. Represents Payer Enrollment on matrix calls. Collaborates with Credentialing team and local operations for monthly Credentialing Committee meeting. Assist with Delegated Payer Audits. Assists in training of associates. Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers. Maintains NPI files and provider numbers. Serves as customer service liaison. Interacts with providers, Operation leaders, insurance carriers, and practice personnel concerning payer enrollment. Performs all functions in a courteous and professional manner.

Requirements:

• High School Diploma or equivalent

• Three to Five (3 -5) years of Payer Enrollment experience

• Solid knowledge and utilization of PC applications to include WORD, EXCEL, ACCESS

• Excellent written and verbal communication skills

• Excellent organization and planning skills with demonstrated teamwork skills

• Proven ability to interact with all levels of management and other Associates

Work Type:

Full Time