Provider Enrollment Specialist

3 weeks ago

Bedford, United States LogixHealth Full time

Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, and WV

$2500 Signing Bonus

Are you interested in joining a team that strives to positively impact the healthcare system?

LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."

If we have piqued your interest and you also possess:

+ A strong attention to detail and active listening skills

+ Proficient computer and Microsoft Excel skills

+ The ability to multitask

We want to meet YOU

Purpose

Perform all provider enrollment related procedures for physicians/mid-level providers to ensure groups can submit claims to insurance carriers for reimbursement.

Duties and Responsibilities

+ Process provider enrollment applications for providers/groups

+ Research insurance provider enrollment requirements by state

+ Enter group/individual data to credentialing system

+ Prepare and submit provider enrollment applications to insurance carriers

+ Follow-up on provider enrollment applications with provider, insurance company or client sites

+ Interact with providers via phone or email as needed

+ Collaborate with Account Managers to resolve provider denials

+ Update/Maintain Provider Enrollment Credentialing System

+ Attends conference calls with clients as requested

Qualifications

To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

High School Diploma or equivalent combination of education and experience required.

Computer Skills

Prior MS Office experience, including proficiency with Excel and Word, and internet software experience required.

Experience

One to two years related experience required.

Specific Job Knowledge, Skill and Ability

+ Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals

+ Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals

+ Ability to write routine reports and correspondence

+ Ability to communicate effectively verbally and in writing

+ Ability to apply common sense understanding to carry out instructions

+ Specific vision abilities required by this job include close vision

+ Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

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