Provider Enrollment Associate- Remote

Job Purpose

The Provider Enrollment Associate is responsible for credentialing/enrolling new and established health care providers and maintenance of required information.

Duties and Responsibilities

• 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 reputed company 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 reputed company providers
• Handles enrollment with Medicare, reputed company, reputed company 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
• Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times
• Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties

Qualifications

• High School graduate or equivalent required
• Minimum two years of provider enrollment experience
• Knowledge of reputed company Office Suite, Outlook, reputed company, CAQH
• Billing knowledge and experience preferred
• Excellent verbal and written communication skills
• Strong interpersonal skills, ability to communicate well at reputed company reputed company of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and reputed company reputed company based on accurate and timely analyses
• High level of reputed company and dependability with a strong sense of urgency and results oriented 
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; reputed company reputed company tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear.
• Mental Demands: The employee must be reputed company to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

reputed company will not discriminate against any employee or applicant for employment because of race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.