What are the responsibilities and job description for the Provider Enrollment Specialist - Corporate position at TeleSpecialists LLC?
This is an in-office based position.
About Us:
TeleSpecialists is a rapidly growing national telemedicine company seeking the right talent to join our team. We provide emergent and routine neurology and psychiatry services in over 300 hospitals across the country and continuing to expand services. We are seeking the right talent to join our team and help us with our mission of impacting patients, providing timely high-quality care to patients, and transforming the future of healthcare. We have an innovative and entrepreneurial culture that provides the opportunity for personal and professional growth.
TeleSpecialists Offers:
- A great culture with a team environment
- A fun, diverse work environment
- A rapidly growing company with career advancement opportunities
- Medical, Dental and Vision benefits
- 401k match
- Paid Vacation
- Leadership Training Classes
- Mentorship Program
- Tuition Reimbursement
Position Summary:
Payer Enrollment Team Member is responsible for managing the enrollment process for healthcare providers with insurance payers. This includes tasks like verifying provider information, submitting enrollment applications, and ensuring compliance with payer requirements. The role often involves maintaining accurate records, following up on pending applications, and resolving any issues that arise during the enrollment process. The position will require in office setting in either Fort Myers or Atlanta.
Essential Duties and Responsibilities:
- Complete initial, reassignment and revalidation applications with Medicare/Medicaid for providers.
- Ensure physician recredentialing apps for Commercial insurance networks are completed timely.
- Maintain PECOS portal for providers, including approval of facilities and updating demographic information.
- Manage and Maintain NPPES portal for providers.
- Create, update, and maintain CAQH profiles for providers.
- Practice Manager CAQH profile for all providers and facilities.
- Manage password updates for various enrollment portals, included but not limited to CAQH, Medicare and Medicaid.
- Updating and maintaining Salesforce with the progress of all activities.
- Complete payer enrollment paperwork for providers and return to the Enrollment Support facility.
- Manage Availity portal for various insurance networks.
- Other duties as assigned.
Education/Experience:
- Payer Enrollment experience required.
- Credentialing software experience required.
- Experience with Joint Commission or National Committee for Quality Assurance preferred.
