Provider Enrollment Rep I

Job Description

REQUIREMENTS

• High School diploma or GED
• 6 months’ clerical experience
• Advanced computer skills, keyboarding, and data entry skills
• Experience with computer programs such as: Microsoft Word, Excel, Access, Outlook and SharePoint

RESPONSIBILITIES

• Researches and controls incoming applications and correspondence to ensure work is properly categorized
• Enters data into internal document management and workflow systems
• Provides quality check on the provider enrollment data and enters application information into claims processing systems
• Manages inbound/outbound online FAX queues to and from providers
• Quality assurance checks of claims processing system enrollment data
• Creates and mails notification letters
• Completes application returns and/or application acknowledgement process
• Support other enrollment functions such as status calls, basic data entry, special mailings, etc.
• Reviews, researches, and processes provider enrollment applications abiding by contract regulations, internal policies, and guidelines
• Coaches providers through the enrollment process and provides inbound phone support
• Initiates requests for information to complete the online enrollment process
• Verifies credentialing information and completes fraud detection and prevention

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

#CrossChannelJobs #JobSearch
#CareerOpportunities #HiringNow
#Employment #JobOpenings
#JobSeekers