Healthcare Provider Enrollment Specialist

7 days ago


Pflugerville, Texas, United States BCforward Full time

At BCforward, we are seeking a motivated Healthcare Provider Enrollment Specialist to join our team in Austin, TX.

Job Overview

The successful candidate will be responsible for interacting professionally with healthcare providers and staff to provide timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs.

Key Responsibilities:

  • Process 100% of assigned applications and maintenance requests using documented work instructions, meeting daily quotas;
  • Identify deficiencies and notify providers of incomplete/inaccurate applications, revising existing deficiencies as required;
  • Respond to inquiries regarding application status;
  • Research and contact providers via phone to resolve enrollment application deficiencies;
  • Adhere to the Quality Assurance program to improve daily processing of applications and file maintenance transactions with a minimum quality score of 98%;
  • Make recommendations to management to improve efficiency/effectiveness of current processes;
  • Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements;
  • Flexibility to work overtime is dictated by daily production inventory requirements.

Requirements:

  • Minimum of 6 months of experience enrolling and credentialing healthcare providers;
  • Strong computer skills;
  • Ability to meet strict deadlines;
  • Great attention to detail;
  • Excellent communication skills;
  • Outstanding problem-solving and organizational abilities;
  • Ability to multitask and manage time effectively;
  • Flexibility and adaptability in a growing work environment.

Compensation:

The estimated salary range for this position is $76,800 - $83,200 per year, based on a 40-hour workweek.

Benefits:

We offer a comprehensive benefits package, including major medical, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

We are a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Our strong culture and clear values have enabled us to become a market leader and best in class place to work.

We champion the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for over 25 years.

We are an equal opportunity employer and welcome diverse candidates to apply.



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