Provider Enrollment Specialist
Provider Enrollment Specialist
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
EyeCare Partners is the nations leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision advance eye care and improve lives. Based in St. Louis Missouri over 650 ECPaffiliated practice locations provide care in 18 states and 80 markets providing services that span the eye care continuum. For more information visit.
Job Title: Provider Enrollment Specialist
Job Summary
Our growing eye care organization has an immediate need for an experienced Provider Enrollment Specialist who is familiar with provider data management and credentialing. A successful individual in this role will manage multiple enrollments and priorities while providing support to the Supervisor of Provider Enrollment.
Duties and Responsibilities
Serve as the first point of contact for internal office and provider requests.
Keep all provider enrollment data uptodate and current.
Complete recredentialing paperwork as needed.
Keep all internal enrollment tracking methods up to date.
Detailed understanding of Medicare Medicaid and Managed Care Plan regulations
Keep CAQH and NPPES updated with accurate and current information.
Maintain constant contact with insurance payer representatives.
Communicate enrollment updates and issues to leadership.
Follow up with payers on outstanding enrollments on a weekly basis.
Maintain all demographic changes for all providers.
Maintain all hospital appointments and reappointments.
Performs other duties that may be necessary or in the best interest of the organization
Education:
High School Diploma or GED Required
Experience Requirements
2 years of related experience or training equivalent combination of education and experience will be considered
Knowledge Skills and Abilities Requirements
Professional in appearance and actions
Logical and Critical thinking skills for problem solving and analysis.
Indepth knowledge of performance metrics
Customerfocused with excellent written listening and verbal communication skills
Ability to maintain control of a call deescalating issues and instilling confidence that a resolution will be found
Ability to function effectively under stress of conflicting demands on time and attention while successfully meeting deadlines
Enjoys learning new technologies and systems Detail oriented professional attitude reliable
Exhibits a positive attitude and is flexible in accepting work assignments and priorities
Meets attendance and tardiness expectations ability to work overtime if required.
Management and organizational skills to support the leadership of this function
Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
Interpersonal skills to support customer service functional and teammate support need
- Able to communicate effectively in English both verbally and in writing
Ability for basic to intermediate problem solving including mathematics
Intermediate computer operation
- Proficiency with Microsoft Excel Word PowerPoint and Outlook
Specialty knowledge of systems relating to job function
Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines
Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
Physical Requirements:
While performing the duties of this job the employee is regularly required to talk and hear. The employee is occasionally required to stoop kneel crouch or crawl. The employee must frequently lift and/or move up to 10 pounds.
Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and ability to adjust focus.
If you need assistance with this application please contact
EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered foremploymentwithout attention to race color religion sex sexual orientation gender identity national origin veteran or disability do not contact the office directly only resumes submitted through this website will be considered.
Required Experience:
Unclear Seniority
Employment Type
Full Time
