Enrollment specialist Jobs in New orleans la

Job Description

Job Description

JOB TITLE : Provider Enrollment Specialist / Credentialing

SUPERVISION RECEIVED : Reports to Provider Enrollment Manager.

LOCATION : varies

GENERAL SUMMARY OF DUTIES : Responsible for all aspects of provider / payer enrollment, re-enrollment, re-credentialing, re-validation, and contracting processes for medical providers in both private practice and group settings across various states.

ESSENTIAL FUNCTIONS :

• Prepare and submit governmental and private payer applications for initial enrollment across various state plans.
• Handle re-credentialing and re-validation applications for providers and groups for governmental and private payers.
• Ensure thorough follow-up to guarantee the completion of all enrollment processes.
• Document and maintain a detailed log of all pending and completed work in the enrollment software.
• Maintain CAQH profiles for multiple providers and provider types.
• Acquire and process new Managed Care Agreements.
• Assist with the process of applying and maintaining EDI and EFT procedures for certain payers.
• Provide support to providers and internal teams as needed regarding enrollment status and requirements.
• Maintains strictest confidentiality.
• Follows established policies and procedures listed in the Employee Handbook, ACS Practice Management, Compliance and HIPAA Manuals.
• The job holder must demonstrate competencies applicable to the job position while performing duties in a professional and courteous manner.

EDUCATION :

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