Provider Enrollment Specialist

1 month ago


Tempe, Arizona, United States Medix Full time
Provider Enrollment Specialist

At Medix, we're seeking a highly organized and detail-oriented Provider Enrollment Specialist to join our team. As a key member of our enrollment team, you'll play a critical role in ensuring the smooth administration of the provider enrollment process for our assigned new and existing providers.

Key Responsibilities:
  • Prepare and submit enrollment applications for practitioners, group practices, and facilities.
  • Manage new enrollments from start to finish, ensuring providers are enrolled with all assigned payers.
  • Track and follow up on enrollment applications using Smart Sheets, maintaining detailed logs of tasks.
  • Regularly update and communicate enrollment status to stakeholders.
  • Maintain provider portals such as Wybtrak/CAQH, ensuring all data is up-to-date.
  • Contact practitioners, insurance representatives, and provider staff to compile necessary provider data.
  • Comply with NCQA, Medicare, and Medicaid standards, as well as HIPAA guidelines and department procedures.
  • Assist with updating fee schedules for Medicare, Medicaid, and commercial payers in NextGen EPM.
  • Proactively resolve any issues that arise during the enrollment process.
Requirements:
  • Experience in medical records and medical office settings.
  • Strong data entry skills and ability to make follow-up calls to insurance plans.
Preferred Qualifications:
  • Knowledge of NPPES.
  • Experience with provider enrollment.
Work Schedule:

Monday to Friday, 8:00am to 5:00pm.

Compensation:

$21 to $23 an hour.


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