• Communicates with providers to explain process and sign applications
• Collects, updates, maintains necessary provider information and documentation and verifies the information where possible
• Establishes and maintains data entry in CAQH
• Prepares provider enrollment applications for all initial applications and re-credentialing in a timely and complete manner
• Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.)
• Coordinates information for enrollment and termination of all providers
• Handles enrollment with Medicare, Medicaid, commercial insurances
• Contributes to the departmental process and procedures with a collaborative approach
• Works department client WQ’s and smart feeds where applicable
• Maintains provider enrollment mailbox and completes actions and follow up
• Performs other duties as requested
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  
  

• High School graduate or equivalent required
• Minimum two years of provider enrollment experience
• Knowledge of Microsoft Word, Outlook, Excel, CAQH
• Billing knowledge and experience preferred
• Excellent verbal and written communication skills
  
  

• Work Set-Up: Onsite
• Work Schedule: Mid or night shift, depending on business need
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.
  
  

Please refer to job description.