Provider Enrollment Specialist

2 weeks ago


Metairie, United States i3 Verticals Full time
JOB TITLE: Provider Enrollment Specialist/Credentialing
SUPERVISION RECEIVED: Reports to Provider Enrollment Manager.

LOCATION: Metairie, LA

GENERAL SUMMARY OF DUTIES: Responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in private practice or group settings.

ESSENTIAL FUNCTIONS:

  • Prepare and submit Governmental and Private Carrier applications for initial submission and re-credentialing and follow-up as needed.
  • Acquire and process new Managed Care Agreements.
  • Maintain detailed log of all pending and completed work.
  • Apply and update NPI Numbers through the NPI Website.
  • Apply and maintain EDI, EFT & ERA processes.
  • Maintains strictest confidentiality.
  • Follows established policies and procedures listed in the Employee Handbook, ACS Practice Management, Compliance and HIPPA Manuals.
  • The job holder must demonstrate competencies applicable to the job position while performing duties in a professional and courteous manner.
EDUCATION:
  • High school diploma or GED.
SKILLS & KNOWLEDGE:
  • Knowledge and understanding of the credentialing/enrollment process.
  • Knowledge of Governmental and Private Provider enrollment processes and applications for Louisiana and other States.
  • Knowledge of CMS Federal and State Guidelines.
  • Knowledge of Prime Source Verification.
  • Knowledge of CAQH.
  • Proficient use of Microsoft Office Word, Excel, and Outlook.
  • Knowledge of grammar, spelling and punctuation to type correspondence.
ABILITIES:
  • Ability to read, understand and follow oral and written instruction.
  • Ability to sort and file materials correctly by alphabetic or numeric systems.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Ability to communicate clearly and concisely.
  • Ability to establish and maintain effective working relationships with patients, employees and the public.


  • Metairie, United States i3 Verticals, Inc. Full time

    JOB TITLE: Provider Enrollment Specialist/Credentialing SUPERVISION RECEIVED: Reports to Provider Enrollment Manager. LOCATION: Metairie, LA GENERAL SUMMARY OF DUTIES: Responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in private practice or group settings. ESSENTIAL FUNCTIONS: * Prepare...


  • Metairie, United States i3 Verticals Management Services, Inc. Full time

    Job DescriptionJob DescriptionJOB TITLE: Provider Enrollment Specialist/CredentialingSUPERVISION RECEIVED: Reports to Provider Enrollment Manager.LOCATION: Metairie, LAGENERAL SUMMARY OF DUTIES: Responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in private practice or group settings.ESSENTIAL...


  • Metairie, United States St. Martin's Episcopal School Full time

    St. Martin's Episcopal School in Metairie, LA is seeking an experienced Enrollment Manager to begin employment on July 1, 2024. Founded in 1947, St. Martin's is a co-educational independent day school, serving students from PK through 12th grade. The faculty and staff strive to live out the School's Mission to prepare students to thrive in college and life...


  • Metairie, United States Catholic Charities Archdiocese of New Orleans Full time

    Job DescriptionJob DescriptionJob Summary: CCANO's Refugee Services Program provides holistic case management to support refugee self-sufficiency and integration to hundreds of clients each year. Refugee English Language Learning Specialist will coordinate the classes for Refugee clients enrolled in the ESL program at one of our primary sites and/or...

  • Learning Specialist

    6 days ago


    Metairie, United States St. Martin's Episcopal School Full time

    St. Martin's Episcopal School is an EEO employer - M/F/Vets/Disabled Learning Specialist for the Middle and Upper Schools St. Martin's Episcopal School is a coeducational, independent school that provides students from 8 weeks to grade 12 with a college preparatory education focused on the development of the whole person. Students and faculty embrace the...

  • Claims Specialist

    4 weeks ago


    Metairie, United States Marsh & McLennan Companies Full time

    As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include:You will submit claims or Claims Specialist, Claims, Specialist, Insurance


  • Metairie, United States The Urgent Care LLC Full time

    General Position Description: To provide patients with outstanding patient care by applying best practices and quality service to aid in the health and well-being of our patients, while also standing by the mission and values of The Urgent Care. The Urgent Care has more than one locations, New Orleans, Veterans, Gretna, and LaPlace. The Physician Assistant/...

  • Specialist

    7 days ago


    Metairie, United States Apple Full time

    Job Title: Specialist Job Description: As a Specialist, your key responsibility will be to uncover customers' needs and provide them with enlightening solutions. You will be the first point of contact for customers when they enter the store and will guide them through the entire buying process, from advising and selling to setting up their new products. You...

  • Marketing Specialist

    2 weeks ago


    Metairie, United States Ryan Gootee General Contractors Full time

    Job DescriptionJob DescriptionSalary: Marketing Specialist / Office AdministratorThe Marketing Specialist plays a significant role in shaping the company’s identity and awareness within the community through various marketing initiatives and assists in the procurement of new work through qualifications, proposals, and interview presentations. The Marketing...

  • Employment Specialist

    3 weeks ago


    Metairie, United States Catholic Charities Full time

    Job Summary: CCANO's Refugee Services Program provides holistic case management to support refugee self-sufficiency and integration to many clients a year. The Employment Specialist II will provide senior-level professional employment service work for job readiness and job placement programs for Immigrants eligible for social service programs. The Employment...

  • Employment Specialist

    4 weeks ago


    Metairie, United States Catholic Charities Archdiocese of New Orleans Full time

    Job DescriptionJob DescriptionJob Summary: CCANO's Refugee Services Program provides holistic case management to support refugee self-sufficiency and integration to many clients a year. The Employment Specialist II will provide senior-level professional employment service work for job readiness and job placement programs for Immigrants eligible for...


  • Metairie, United States Bios Technologies Full time

    Job DescriptionJob DescriptionSalary: $60K - $80KInformation Security Specialist About BIOS TechnologiesBIOS Technologies is an established and proven Technology Solutions company with a 20-year track record of partnering with fast-growing and forward-thinking businesses to envision what is coming next and determine the best technology plan and support...


  • Metairie, United States Ampirical Solutions Full time

    We'd love to have you join our team as a Project Controls Specialist in our Metairie, Louisiana office. There will be a 3-6 month training period in our Covington office before transitioning fulltime to the Metairie office. Company Overview: Ampirical has been committed to improving and strengthening the power grid since the company's inception. Just as an...


  • Metairie, United States Ampirical Solutions Full time

    We'd love to have you join our team as a Project Controls Specialist in our Metairie, Louisiana office. There will be a 3-6 month training period in our Covington office before transitioning fulltime to the Metairie office. Company Overview:Ampirical has been committed to improving and strengthening the power grid since the company's inception. Just as an...

  • Billing Specialist

    1 week ago


    Metairie, United States Quipt Home Medical Full time

    Job Description Job Description Description: We are rapidly growing leader in the provision of clinical respiratory equipment, DME and service that is seeking outstanding individuals to join our team of professionals. Due to our success, we are constantly looking for talented and qualified candidates. Position: Billing Specialist Branch: Access Respiratory...


  • Metairie, United States Ampirical Solutions Full time

    We'd love to have you join our team as a Project Controls Specialist in our Metairie, Louisiana office. There will be a 3-6 month training period in our Covington office before transitioning fulltime to the Metairie office. Company Overview: Ampirical has been committed to improving and strengthening the power grid since the company's inception. Just as an...

  • Learning Specialist

    4 weeks ago


    Metairie, United States St. Martin's Episcopal School Full time

    St. Martin's Episcopal School, a coeducational, independent Pre-K to 12 school in Metairie, Louisiana, invites applications for an Upper School English Teacher for the upcoming academic year. At St. Martin's, we embrace our three foundational pillars: Faith, Scholarship, and Service. Our community is our strength, comprising a diverse and talented group of...

  • Billing Specialist

    1 month ago


    Metairie, United States Quipt Home Medical Full time

    Job DescriptionJob DescriptionDescription:We are rapidly growing leader in the provision of clinical respiratory equipment, DME and service that is seeking outstanding individuals to join our team of professionals. Due to our success, we are constantly looking for talented and qualified candidates.Position:Billing SpecialistBranch:Access Respiratory...

  • Billing Specialist

    1 day ago


    Metairie, United States Quipt Home Medical Full time

    Job DescriptionJob DescriptionDescription:We are rapidly growing leader in the provision of clinical respiratory equipment, DME and service that is seeking outstanding individuals to join our team of professionals. Due to our success, we are constantly looking for talented and qualified candidates.Position:Billing SpecialistBranch:Access Respiratory...


  • Metairie, United States Bernhard LLC Full time

    Bernhard’s core mission is delivering innovative engineering, construction, and energy solutions that empower our clients and promote a sustainable future. Bernhard is comprised of four divisions: Mechanical, Electrical, Engineering, and Development, each with a distinct identity and service offerings. The intersection of our capabilities enables Bernhard...