Provider Enrollment Specialist

No Visa Restrictions.

• Work location: Austin
• Does this role require vaccination mandate? No
• Will the client pay for travel and expenses? N/A
• What Is the budgeted bill rate for supplier and is there wiggle room? 29.70

15 roles must live within 60 miles of Austin, Texas, and work 100 percent onsite, 5 must be fully remote, and 1 will be hybrid based on candidate location. Interact professionally with providers and ancillary staff to provide appropriate and timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs.

• Process to completion 100 percent of assigned applications and maintenance requests utilizing documented work instructions, daily and meeting minimum daily targets.
• Identify deficiencies to notify providers of incomplete and inaccurate applications, revising existing deficiencies and sending corrections based on QA audits as required.
• Respond to inquiries regarding the status of applications received.

• Minimum of 6 months of experience enrolling and credentialing healthcare providers.
• Mid to high level computer skills including the Client Office suite of products.
• Professional with a minimum 1 year in a customer service and or data entry or related experience.

• Detail oriented and quality focus delivering timely assessments and data entry.
• Excellent verbal and written communication skills.
• Function independently and use critical thinking to analyze enrollments.
• Self-motivated and independent while being able to accept direction with completion of tasks.
• Adapt to changes in strategy or approach as needed in a fast-paced, innovative environment.
• Willingness to learn a variety of enrollment types.
• Commit to ongoing learning to maintain competence in assigned tasks.

• Adhere to the Quality Assurance program in order to improve the daily processing of applications and file maintenance transactions with a minimum quality score.
• Makes recommendations to management to improve efficiency and effectiveness of current processes.
• Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements.
• Flexibility to work overtime as needed by daily production inventory requirements.
• Perform other duties as assigned by leadership.
• May research and contact providers via phone to resolve enrollment application deficiencies.