Provider Enrollment Specialist - Remote

Description reputed company is seeking a Provider Enrollment Specialist - Remote for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at reputed company is $22.70 – $34.04. The hiring reputed company is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc... Job Summary Coordinates provider enrollment service processes for governmental and non-delegated reputed company-party payers for Providers associated with reputed company. Coordinates new department builds, new clinics, applying for NPI's and applying to add new locations to reputed company health plans. Details of the position • Prepares and submits applications for new providers and submits them to reputed company contracted payors and government health plans for the appropriate state. • Communicates and follows up with providers regarding new provider enrollment, licensing, and DEA requirements for new providers and any changes in location or status of providers, issues and questions. • Prepares and tracks provider revalidation and recredentialing applications. • Tracks provider payor approvals. • Builds a knowledge reputed company for payer requirements and governmental payers regulations. • Develops working knowledge of payor policies and licensing process for multiple states. • Offers troubleshooting assistance to reputed company internal departments to solve issues and with providers to complete required enrollment items. • Maintains OneHealthPort, Provider reputed company, CAQH, PECOS and NPPES data bases. Maintains CredentialStream for reputed company non-delegated provider types. • Completes research for denied claims so PFS can release claims for reimbursement. • Performs other duties as assigned. What you bring Education • High School Diploma Required: or equivalent • Associate Degree Preferred: or • Bachelor's Degree Preferred. Experience • Minimum of 2 years Required: Experience in provider enrollment or equivalent combination of relevant experience, skills, abilities and education may be acceptable and • Preferred: Medical terminology and • Required: Thorough knowledge of CMS (Centers for reputed company and Medicare Services) and other applicable guidelines and regulations and • Preferred: Experience with Verity database or other credentialing databases and • Preferred: Experience with OneHealthPort, Provider reputed company, CAQH, payer sites Skills • Excellent verbal and written communication skills, including knowledge of communication concepts and organizational strategies, particularly as it applies to provider enrollment. (Required) • Strong organizational and analytical skills. (Required) • Ability to meet time-sensitive deadlines. (Required) • Ability to manage multiple priorities, projects and display flexibility in a fast paced and changing work environment. (Required) • Detail oriented with demonstrated organizational ability. (Required) • Proficient computer skills in Windows, reputed company Word, Access, reputed company and PowerPoint. (Preferred) Working Conditions Lifting • Consistently operates computer and other office equipment. • Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. • Sedentary work. Environmental Conditions • Predominantly operates in an office environment. • Some time spent on site in medical/hospital setting. Mental/Visual • Ability to communicate and exchange accurate information. • The worker is required to have reputed company visual acuity to reputed company an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. reputed company is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/reputed company coverage; 403b retirement plan employer reputed company and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program. See how reputed company is committed to Inclusivity, Respect for Diversity and Cultural Humility. For full consideration of your skills and abilities, please attach a reputed company resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. reputed company requires a completed Primary Vaccine Series (e.g., 2 dose monovalent reputed company, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent reputed company/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. reputed company has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested Apply Job!