Provider Enrollment Specialist

2 days ago


Dallas, Texas, United States The LaSalle Group Full time
Provider Enrollment Specialist

We are seeking a dedicated and detail-oriented professional to manage the enrollment and credentialing processes for providers, oversee billing systems, and maintain essential provider files.

Key Responsibilities:
  • Coordinate Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers
  • Serve as the administrator for the billing system, providing support to practices with system-related issues
  • Maintain and update NPI files and provider numbers to ensure accuracy and compliance
  • Act as a liaison between patients, insurance carriers, billing vendors, and practice personnel, addressing inquiries and resolving issues in a professional manner
  • Monitor accounts receivable to ensure appropriate levels are maintained and review payments to maximize reimbursement
  • Communicate effectively with patients, insurance carriers, billing vendors, and practice staff regarding patient accounts and billing matters
Requirements:
  • Proven experience in Medicare and Medicaid enrollment, credentialing, or a related field
  • Familiarity with billing systems and provider credentialing processes
  • Excellent communication and interpersonal skills
  • Strong organizational skills with attention to detail
  • Ability to handle multiple tasks and prioritize effectively
  • Proficiency in relevant software and systems

If you are an experienced professional with a passion for providing excellent service and managing complex processes, we invite you to apply for this exciting opportunity.



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