Provider Enrollment Specialist I
3 weeks ago
Melville,NY - USA
Position Requirements
Essential duties and responsibilities:
Complete and accurately submit provider payor enrollment applications, spreadsheets, and letters
Research & keep current on payer, hospital & office-based guidelines as needed to ensure processes are accurate. Review workflows to identify accuracy, efficiency, and best practices
Follow up with providers and payors to ensure timely enrollment and participation
Review and follow up on weekly snapshot billing reports
Accurate data entry of all provider information into the Credentialing Database
Handling incoming requests from physicians, payors, and other agencies
Obtain confirmations, save to Cactus, and notify billing
Complete online provider CAQH re-attestations
Serve as a resource to internal departments, providers, and outside agencies
Responsible for weekly/monthly reporting, administrative duties, and department projects as assigned.
Travel between NAPA sites for training and collaboration and other clinical work locations to meet with providers to obtain signatures on required documents
Other responsibilities as assigned
Qualification/Requirement:
Positive and professional attitude
Ability to work with all levels of associates from entry level to upper-level management
Experience working in an office setting, preferably in the health care industry
Strong follow up, interpersonal and communication skills.
Ability to work independently or in a group setting
Ability to multi-task and prioritize in a fast passed environment
Must be a self-starter and a team player who enjoys providing the highest level of customer service.
Previous credentialing or enrollment experience a plus
Experience working with databases, and ability to create and manipulate spreadsheets
Experience with Microsoft Office (Outlook, Excel & Word)
Local & distance travel required.
Education and/or Experience
High School or equivalent, college degree preferred
Total Rewards
Salary: $18.00 -23.00 per hour
Generous benefits package, including:
Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities
This is a virtual position. The ideal candidate will be located within driving distance to our Melville, NY office.
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
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