Provider Enrollment Specialist

Irving, TX, US • Posted 2 days ago • Updated 2 days ago

Contract W2

No Travel Required

On-site

$24/hr

AJ Consulting Group, LLC

Fitment

Dice Job Match Score™

🛠️ Calibrating flux capacitors...

Job Details

Skills

Provide Enrollment

Summary

Title: Provider Enrollment Specialist

Location: Irving, TX ( Onsite )

Duration: 3+ Months

VISA: U.S. Citizens and s due to legal or government contract requirements

Tax Term: W2

JD:

Experienced Required: 3 Years

Summary

<>Provider Enrolment Specialist - Onsite<>Summary

MUST- Submit with proof of education; High School Diploma
1-3 years of Payer Enrollment experience Solid knowledge of PC applications to include WORD, EXCEL, ACCESS.

Coordinates credentialing applications for commercial payers, Medicare, and Medicaid. Under the direction of the Provider Enrollment Manager, the Provider Credentialing & Enrollment Specialist, this position is responsible for ensuring compliance with enrollment requirements and will serve as a liaison between administration and staff in understanding and applying credentialing requirements for direct enrollment. This includes but is not limited to obtaining and supplying credentialing enrollment applications, education, training, and certification information for submission. This position requires attention to detail.

Responsibilities

<>Responsibilities: Prepares and submits credentialing applications to commercial health plans, Medicare, and Medicaid. Following up with commercial and government payers via telephone, email, and on-line systems. Tracking application progress and informs appropriate personnel, interdepartmentally and intra-departmentally. Updates internal database for credentials and keeps the computer system current. Identify enrollment problems and relays information is a concise and polite manner to appropriate personnel. Work cooperatively with team Associates towards the completion of enrollment activities. Coordinate and collaborate with internal and external customers in a patient and respectful manner.

Requirements

<>Excellent written and verbal communication skills.<>Excellent organizational and planning skills with demonstrated teamwork skills, vendor management skills.<>3+ years experience required in a Medicare and Medicaid enrolment/re-enrolment and managed care credentialing and contracting processes for providers.

Provider Enrolment Specialist - Onsite Summary MUST- Submit with proof of education; High School Diploma along with non clinical coversheet and formatted resume with no contact info. all merged in 1 pdf file. Non clinical coversheet is attached in the job. 1-3 years of Payer Enrollment experience Solid knowledge of PC applications to include WORD, EXCEL, ACCESS. Coordinates credentialing applications for commercial payers, Medicare, and Medicaid. Under the direction of the Provider Enrollment Manager, the Provider Credentialing & Enrollment Specialist

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91170652
Position Id: 8873360
Posted 2 days ago

Company Info

About AJ Consulting Group, LLC

The staffing and recruiting industry is evolving rapidly, and having a strong online presence is more important than ever. A newly launched AJ Consulting Group, LLC for the staffing and recruiting sector is set to become a valuable hub for connecting job seekers, recruiters, and businesses looking for top talent.

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