Provider Enrollment Specialist-Remote
Provider Enrollment Specialist-Remote
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Job Description
Who we are:
Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform Telemed IQ enables lifesaving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industryleading solutions that drive improved clinical care patient outcomes and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commissions Gold Seal of Approval and has maintained that accreditation every year since inception.
We love what we do and if you want to know more about our vision mission and values go to to check us out.
What youll be responsible for:
The Provider Enrollment Specialist is responsible for the completion of all enrollment applications (including Medicare and Medicaid) for all employed providers including but not limited to revalidation reassignment of benefits and renewal of appointment. The Provider Credentialing and Enrollment Specialists ensures all providers information is complete and accurate and all enrollment information is maintained and current within Salesforce.
What youll work on:
- Complete the enrollment application or group enrollment applications of employed telemedicine provider across all states
- Assist with the onboarding process (internally/externally) to include obtaining enrollment within established timelines
- Ensure physician Medicare and Medicaid numbers along with managed care appointments are enrolled or renewed timely in support of the state guidelines for compliance
- Identify and analyze the physician information received to ensure accuracy
- Assist in the process to credential entities and individual providers to meet payer criteria
- Maintain filing information for all enrollment credentialing recredentialing schedules and contracting process by loading all information to the credentialing software to have most accurate data
- Monitor and track the enrollment credentialing and contracting process in order to promote compliance process enhancement and efficiency
- Complete EFT and ERA Enrollments
- Maintains copies of current state licenses DEA certificates malpractice coverage and any other required Provider Enrollment documents for all providers
- Makes leadership aware of any potential derogatory issues identified during the Provider Enrollment process and works in collaboration with practitioner to document/resolve the issue
- Reads and abides by the companys code of conduct ethics statements employee handbook(s) policies and procedures and other mandates including participation in mandatory training programs
- Other duties as assigned
What youll bring to Access TeleCare:
- High School Diploma or equivalent
- Physician Provider Enrollment experience requiredat least 1 year of direct experience submitting Provider Enrollment applications to Medicare and Medicaid for physicians
- Credentialing experience preferred
- Salesforce Experience preferred
- Experience with Credentialing Accreditation by Joint Commission or National Committee for Quality Assurance preferred
- Ability to interact with internal and external customers
- Flexible and adaptable with learning and understanding technology
- Highly analytical and detailoriented with ability to demonstrate command of details and to articulate those details at a higher level.
- Strong written oral and interpersonal communication skills
- Highly selfmotivated directed and proactive
- Keen attention to detail
- Ability to effectively prioritize and execute tasks in a highpressure environment
- Experience working both independently and in a teamoriented collaborative environment
- Able to communicate effectively within department and with members of interdisciplinary teams
- Ability to work independently and proactively in a fastpaced dynamic environment
- Proven analytical and problemsolving abilities
Companyperks:
- Health Insurance (Medical Dental Vision)
- Health Savings Account
- Flexible Spending (Medical and Dependent Care)
- Employer Paid Life and AD&D (Supplemental available)
- Paid Vacation and Sick Leave Wellness Days and Paid Holidays
About our recruitment process:
We dont expect a perfect fit for every requirement weve outlined. If you can see yourself contributing to the team we would like to speak with you. You can expect up to 3 interviews via Zoom
Access TeleCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race age religion color marital status national origin gender gender identity or expression sexual orientation disability or veteran status.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
