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Sr. Provider Enrollment Specialist
Location
EST (UTC-5)
Posted
14 days ago
Salary
0
Seniority
Senior
No structured requirement data.
Job Description
Sr. Provider Enrollment Specialist
firstsourc
Role Description This position is responsible for the overall administration of the provider enrollment process for new and existing clients as well as assuring new client start-ups are being effectively managed. - Preparing and submitting enrollment applications - Following up on the status of applications for clients - Keep detailed log of all pending and completed work - Maintain/Update credentialing reports - Manage new client start-up, group enrollment, and special projects - Communicate enrollment status to those involved on an as needed basis - Resolve issues related to provider or NPI numbers - Deactivation of provider numbers, effective dates, NPI related denials, NPI website, etc. - Manage state and client master applications Qualifications - High school diploma or equivalent required - 3 - 5 years experience working in credentialing and/or enrollment preferred - Knowledge of provider enrollment process and requirements for commercial insurance companies, CMS Federal and State Guidelines related to enrollment policies preferred - Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client’s staff members required - Proficient with MS Office products preferred - Ability to multi-task needed Requirements - Call Center Environment - Must be able to sit for extended periods of time Benefits - Medical - Vision - Dental - 401K - Paid Time Off
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