Provider Services Specialist

1 week ago

Charlotte, United States PRIDE Health Full time

?

Pride Health is hiring a Provider Services Specialist for one of its clients in North Carolina.

This is a 13-week contract with a possible extension with competitive pay and benefits.

Location Charlotte, North Carolina (28208)

Length of Assignment 13-weeks

Pay range - $20 - $24 an hour.

Shift Mon-Fri; 8 am to 5 pm

Job Summary

The Provider Services Specialist is responsible for the timely, accurate, and compliant enrollment of Health providers with government payers.

Job Duties

  • The Provider Services Specialist is responsible for the timely, accurate, and compliant enrollment of Health providers with government payers, as well as the timely and accurate processing.
  • Follow up, and verification of completion of applications for participation in Medicare (NC/SC), NC Medicaid (NCTracks), SC Medicaid programs for health providers, and physician groups.
  • The position is responsible for ensuring that the credentialing and enrollment functions are completed in compliance with all Health, CMS, State, and national accrediting agency(s) standards.
  • Independently processes and submits complete, timely, and accurate enrollment applications to The Center for Medicare Services (CMS) and state Medicaid offices on behalf of new groups and currently employed Medical Group providers and groups billing under MG tax ID numbers.
  • Resolves issues and supports Practice Leadership / Practice Manager regarding provider enrollment and credentialing for Medical Group, Affiliates, and the Professional Billing Office.
  • Regularly follows up on the status of submitted applications and provider maintenance requests with CMS and state Medicaid offices and communicates status updates to all constituents via MOAD or other tracking systems and email.
  • Demonstrates the ability to communicate professionally and clearly in both verbal and written form to physicians, corporate staff, external agencies, and government / managed care organizations.
  • Accurately documents process steps, dates, and work status in the MOAD system.
  • Answers departmental telephone and emails, routes to appropriate staff, and takes accurate messages as needed. Commits to return all phone and email inquiries within 24 hours even if not resolved.
  • Manages time, prioritizes assignments, and coordinates functions effectively to meet departmental goals and quality standards.
  • Maintains confidentiality of all information related to credentialing and recredentialing.
  • Promotes and assists in the smooth, efficient delivery of departmental services to providers, medical groups, and other corporate departments and outside agencies.
  • Performs other duties and responsibilities as assigned with minimal supervision and within the timeframe specified.
  • Participates in performance improvement activities.
  • Collaborates effectively with all personnel within the department and throughout Health.

Requirements

  • High School diploma required.
  • College bachelors degree preferred.
  • 3+ years experiencein a role that performs or supports provider enrollment or similar operations in a hospital or managed care environment is required.
  • Certification through the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credential Specialist (CPCS) or Professional Medical Services Management (CPMSM) is preferred.
  • Experience with primary source verifications, Medicare, North & South Carolina Medicaid, NCQA, and DOI standards is preferred.

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto ,home insurance, pet insurance, and employee discounts with preferred vendors.

  • Field Service Specialist

    7 days ago

    Charlotte, United States Medasource Full time

    Position: Planned Activity Specialist (Laboratory Field Service Technician)Client: Large Biotech CompanyOpenings: 12Location: ~100% Travel - Home base in greater Nashville, Miami, Orlando, Greenville, Charlotte, or GreensboroDuration: 8 months with high possibility of extensionJob Description:This Planned Activity Specialist will travel across their...

  • Field Service Specialist

    Found in: Appcast Linkedin GBL C2 - 7 days ago

    Charlotte, United States Medasource Full time

    Position: Planned Activity Specialist (Laboratory Field Service Technician)Client: Large Biotech CompanyOpenings: 12Location: ~100% Travel - Home base in greater Nashville, Miami, Orlando, Greenville, Charlotte, or GreensboroDuration: 8 months with high possibility of extensionJob Description:This Planned Activity Specialist will travel across their...

  • Field Service Specialist

    Found in: Appcast US C2 - 7 days ago

    Charlotte, United States Medasource Full time

    Position: Planned Activity Specialist (Laboratory Field Service Technician)Client: Large Biotech CompanyOpenings: 12Location: ~100% Travel - Home base in greater Nashville, Miami, Orlando, Greenville, Charlotte, or GreensboroDuration: 8 months with high possibility of extensionJob Description:This Planned Activity Specialist will travel across their...

  • Patient Services Specialist

    1 week ago

    Charlotte, United States OrthoCarolina Full time

    At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a...

  • Patient Services Specialist

    3 hours ago

    Charlotte, United States OrthoCarolina Full time

    At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a...

  • Customer Service Specialist

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago

    Charlotte, United States Biesse Full time

    Ready to take your inside sales and customer service skills to the next level? We're on the lookout for a talented Customer Service Specialist to join our team and become a pivotal player in our operations.As a Customer Service Specialist, you'll dive into the heart of our database management system, efficiently managing orders and resolving customer...

  • Customer Service Specialist

    Found in: Appcast US C2 - 2 weeks ago

    Charlotte, United States Biesse Full time

    Ready to take your inside sales and customer service skills to the next level? We're on the lookout for a talented Customer Service Specialist to join our team and become a pivotal player in our operations.As a Customer Service Specialist, you'll dive into the heart of our database management system, efficiently managing orders and resolving customer...

  • Customer Service Specialist

    6 days ago

    Charlotte, United States Biesse Full time

    Ready to take your inside sales and customer service skills to the next level? We're on the lookout for a talented Customer Service Specialist to join our team and become a pivotal player in our operations.As a Customer Service Specialist, you'll dive into the heart of our database management system, efficiently managing orders and resolving customer...

  • Patient Services Specialist

    Found in: beBee jobs US - 1 week ago

    Charlotte, North Carolina, United States tapwage Full time

    At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better.We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a...

  • Patient Services Specialist

    4 days ago

    Charlotte, United States OrthoCarolina Full time

    At OrthoCarolina, our team is our greatest asset and the foundation of our success; we share a common passion for making lives better. We are a diverse group of individuals, accountable to each other through the backbone of our beliefs: trust, honesty and mutual respect; ensuring our voice is heard. Our positive environment supports individual growth and a...

  • Newborn Nurse Specialist

    3 weeks ago

    Charlotte, United States ASK A DOULA NEWBORN SERVICES & Full time

    Job DescriptionJob DescriptionAsk A Doula is looking for a Newborn Night Nurse specialist to join our Charlotte, NC team. Job Type: ContractOverview: Ask A Doula Newborn Services is seeking a highly skilled and experienced Newborn Nurse Specialist to join our team on a contract basis. The ideal candidate will have a passion for providing exceptional care to...

  • Service Product Support Specialist

    1 week ago

    Charlotte, United States WMH Full time

    Job DescriptionJob DescriptionDescriptionTake Your Career to New Heights as a Service Product Support Specialist! ️Why Join Us? At WMH, we're not just a company; we're a vibrant community of honor, rewards, and limitless growth! WMH, Wheeler Material Handling, (‪www.wmhsolutions.com) is a 35+ year-old organization, a dynamic leader in the...

  • Brokerage Customer Service Specialist

    Found in: beBee S US - 5 days ago

    Charlotte, United States Motion Recruitment Full time

    Outstanding long-term contract opportunity! A well-known Financial Services Company is looking for a Customer Service Specialist 2 in Charlotte, NC (Hybrid). Work with the brightest minds at one of the largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our client has been around...

  • Customer Service Specialist

    1 week ago

    Charlotte, United States Resident Research Full time

    Company Description Resident Research is an industry leading provider of Resident Screening Services to the Property Management Industry, NATIONWIDE! Our easy online system provides property manager's with credit, criminal, eviction records & much more within just a matter of minutes - helping them make a more informed decision on applicants more quickly....

  • Brokerage Customer Service Specialist

    Found in: beBee jobs US - 6 days ago

    Charlotte, North Carolina, United States Motion Recruitment Full time

    Outstanding long-term contract opportunity A well-known Financial Services Company is looking for a Customer Service Specialist 2 in Charlotte, NC (Hybrid).Work with the brightest minds at one of the largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package Our client has been around for...

  • P3- Payroll Specialist-Charlotte, NC-000

    1 week ago

    Charlotte, United States P3 Services Full time

    Job DescriptionJob DescriptionSalary: DOEAbout P3 Services:P3 Services is assembling and supporting a coast-to-coast, unmatched team of the nation’s leading local and regional providers of plumbing, mechanical, and electrical installation, and services. We are dedicated to helping our companies become industry leaders in their respective markets. We...

  • Field Service Engineer

    1 week ago

    Charlotte, United States Liberty Personnel Services, Inc. Full time

    Elite automation solutions provider seeks machine tooling installation and service oriented Field Service Engineer: Install new machines Electrical and mechanical check-outs, tooling, programming Ability to travel extensively (80-90%) CNC equipment knowledge and experience Mechanical, hydraulics and laser system proficiency PLC/HMI troubleshooting and...

  • Brokerage Customer Service Specialist

    Found in: Appcast Linkedin GBL C2 - 3 days ago

    Charlotte, United States Motion Recruitment Full time

    Outstanding long-term contract opportunity! A well-known Financial Services Company is looking for a Brokerage Specialist in Charlotte, NC (Hybrid).Work with the brightest minds at one of the largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our client has been around for over 150...

  • Brokerage Customer Service Specialist

    3 days ago

    Charlotte, United States Motion Recruitment Full time

    Outstanding long-term contract opportunity! A well-known Financial Services Company is looking for a Brokerage Specialist in Charlotte, NC (Hybrid).Work with the brightest minds at one of the largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our client has been around for over 150...

  • Brokerage Customer Service Specialist

    Found in: Appcast US C2 - 3 days ago

    Charlotte, United States Motion Recruitment Full time

    Outstanding long-term contract opportunity! A well-known Financial Services Company is looking for a Brokerage Specialist in Charlotte, NC (Hybrid).Work with the brightest minds at one of the largest financial institutions in the world. This is long-term contract opportunity that includes a competitive benefit package! Our client has been around for over 150...