Provider Enrollment Rep-711031
Are you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve and 700,000 health care providers who care for them. It is our goal to help create a better health experience for all consumers. Join our winning culture and help transform Medicare for the millions of people who rely on its services. Benefits info:
- Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
- Short- and long-term disability benefits
- 401(k) plan with company match and immediate vesting
- Free telehealth benefits
- Free gym memberships
- Employee Incentive Plan
- Employee Assistance Program
- Rewards and Recognition Programs
- Paid Time Off and Paid Sick Leave
SUMMARY STATEMENT This position is responsible for the integrity of the Medicare Part A and or B Provider files. This position will review applications and ensure compliance with CMS regulations and internal procedures and protocols. ESSENTIAL RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. Process submitted provider applications: (90%)
- Obtain additional information via telephone or in writing.
- Research and validate information as needed to complete enrollment application.
- Determine if both state and federal regulatory requirements are met.
- Review supporting documentation for adequacy; make final determination/recommendation on application.
- Create enrollment records in applicable system(s).
- Make any updates in system as necessary.
- Establish Electronic Funds Transfer (EFT) of provider Medicare payments.
- Research and respond to application specific or general provider enrollment written inquiries.
Perform other supportive activities, attend Provider Enrollment and company sponsored meetings, and attend training sessions. (10%) Performs other duties as the supervisor may, from time to time, deem necessary. REQUIRED QUALIFICATIONS
- High school diploma or GED
- 1 year work experience in a customer service role and/or one year work experience in a position where the applicant has used a computer and Microsoft Office.
- Proficiency with PC's and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
- Effective written and verbal communication skills
- Demonstrated skills in reading comprehension
- Demonstrated problem solving and research skills
- Demonstrated attention to detail
- Strong organizational/time management and interpersonal skills
PREFERRED QUALIFICATIONS
- Provider enrollment experience
- Experience working in a production environment while achieving quality requirements
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