Provider Enrollment Specialist

Position: Provider Enrollment Specialist

Location: Irving, TX 75039

Duration: 13 weeks (3 months)
Shifts: Monday-Friday 8 hours
Guaranteed Hours a week: 40
Tentative Start date: As long as credentialed
Job ID: n/a

JOB SUMMARY

Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement. Interacts with patients, insurance carriers, the billing vendor and practice personnel concerning patient accounts. Performs all functions in a courteous and professional manner

MAJOR JOB RESPONSIBILITIES

• Collects and maintains data on providers for Medicare and Medicaid enrollment

• Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing, with carriers regarding application status

• Complies with Medicare and Medicaid provider enrollment guidelines

• Requests NPI numbers for providers and clinics as necessary and maintains NPI files

• Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals

• Generates various reports to identify outstanding claims issues with provider numbers and non-payment

• Communicates information to appropriate personnel

• Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner

• Collects and reviews managed care contracts for correct billing and payment terms

• Identifies problem accounts and follows through to completion

• Reviews Athena correspondence and unpostable

If interested, contact me, Deepa, from Mon to Fri 9a-6p EST at (703) 652-8424-

Who We Are?

Since 2001 InfiCare has been providing contract and direct hire staffing services to its clients across the US. Click below links to review some of the best workplace awards won by InfiCare:

https://www.greatplacetowork.com/certified-company/7037388

https://www.inc.com/profile/inficare

Job Types: Full-time, Contract

Pay: $24.00 - $26.00 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Microsoft Office: 1 year (Required)
• Microsoft Word, Excel and Visio: 1 year (Required)
• provider data: 1 year (Required)
• medicare and medicaid enrollment: 1 year (Required)

Work Location: In person

Salary : $24 - $26