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Title
Text copied to clipboard!Provider Enrollment Specialist
Description
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We are looking for a dedicated and detail-oriented Provider Enrollment Specialist to join our team. In this role, you will be responsible for managing and facilitating the enrollment process for healthcare providers with various insurance companies and government programs. You will ensure that all necessary documentation is collected, reviewed, and submitted in a timely manner, and you will work closely with providers to resolve any issues that may arise during the enrollment process. The ideal candidate will have a strong understanding of healthcare regulations and requirements, excellent organizational skills, and the ability to communicate effectively with providers, insurance companies, and other stakeholders. You will also be responsible for maintaining accurate records and staying up-to-date with changes in enrollment requirements and procedures. This position requires a high level of attention to detail, the ability to work independently, and a commitment to providing exceptional service to our providers. If you are passionate about healthcare and have experience in provider enrollment, we encourage you to apply for this exciting opportunity.
Responsibilities
Text copied to clipboard!- Manage the enrollment process for healthcare providers with insurance companies and government programs.
- Collect, review, and submit necessary documentation for provider enrollment.
- Communicate with providers to gather required information and resolve any issues.
- Maintain accurate and up-to-date records of provider enrollment status.
- Stay informed about changes in enrollment requirements and procedures.
- Coordinate with insurance companies and government programs to ensure timely processing of enrollment applications.
- Assist providers with re-enrollment and credentialing processes as needed.
- Provide regular updates to providers on the status of their enrollment applications.
- Ensure compliance with all relevant regulations and requirements.
- Develop and maintain strong relationships with providers, insurance companies, and other stakeholders.
- Identify and implement process improvements to enhance the efficiency of the enrollment process.
- Prepare and submit reports on enrollment activities and outcomes.
- Assist with the development and implementation of enrollment policies and procedures.
- Provide training and support to new team members as needed.
- Respond to inquiries from providers and other stakeholders in a timely and professional manner.
Requirements
Text copied to clipboard!- Bachelor's degree in healthcare administration, business administration, or a related field.
- Minimum of 2 years of experience in provider enrollment or a related role.
- Strong understanding of healthcare regulations and requirements.
- Excellent organizational and time management skills.
- Ability to communicate effectively with providers, insurance companies, and other stakeholders.
- Attention to detail and a high level of accuracy.
- Ability to work independently and as part of a team.
- Proficiency in Microsoft Office Suite and enrollment management software.
- Strong problem-solving skills and the ability to resolve issues quickly and effectively.
- Commitment to providing exceptional service to providers.
- Ability to handle sensitive and confidential information with discretion.
- Strong analytical skills and the ability to interpret data and reports.
- Ability to stay up-to-date with changes in enrollment requirements and procedures.
- Experience with electronic health records (EHR) systems is a plus.
- Strong written and verbal communication skills.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with provider enrollment?
- How do you stay informed about changes in healthcare regulations and requirements?
- Can you provide an example of a time when you resolved an issue during the enrollment process?
- How do you ensure accuracy and attention to detail in your work?
- What strategies do you use to manage your time and prioritize tasks?
- How do you handle sensitive and confidential information?
- Can you describe a time when you implemented a process improvement in your previous role?
- How do you communicate with providers and other stakeholders to gather necessary information?
- What experience do you have with enrollment management software?
- How do you handle multiple enrollment applications at the same time?
