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Provider Enrollment Specialist I

Provider Enrollment Specialist I

NAPA Management Services CorporationMelville
18 days ago
Job description

Melville,NY - USA

Position Requirements

Essential duties and responsibilities :

  • Complete and accurately submit provider payor enrollment applications, spreadsheets, and letters
  • Research & keep current on payer, hospital & office-based guidelines as needed to ensure processes are accurate. Review workflows to identify accuracy, efficiency, and best practices
  • Follow up with providers and payors to ensure timely enrollment and participation
  • Review and follow up on weekly snapshot billing reports
  • Accurate data entry of all provider information into the Credentialing Database
  • Handling incoming requests from physicians, payors, and other agencies
  • Obtain confirmations, save to Cactus, and notify billing
  • Complete online provider CAQH re-attestations
  • Serve as a resource to internal departments, providers, and outside agencies
  • Responsible for weekly / monthly reporting, administrative duties, and department projects as assigned.
  • Travel between NAPA sites for training and collaboration and other clinical work locations to meet with providers to obtain signatures on required documents
  • Other responsibilities as assigned

Qualification / Requirement :

  • Positive and professional attitude
  • Ability to work with all levels of associates from entry level to upper-level management
  • Experience working in an office setting, preferably in the health care industry
  • Strong follow up, interpersonal and communication skills.
  • Ability to work independently or in a group setting
  • Ability to multi-task and prioritize in a fast passed environment
  • Must be a self-starter and a team player who enjoys providing the highest level of customer service.
  • Previous credentialing or enrollment experience a plus
  • Experience working with databases, and ability to create and manipulate spreadsheets
  • Experience with Microsoft Office (Outlook, Excel & Word)
  • Local & distance travel required.
  • Education and / or Experience :

    High School or equivalent, college degree preferred

    Total Rewards :

  • Hourly : $18.17- $24.98
  • Generous benefits package, including :
  • Paid Time Off
  • Health, life, vision, dental, disability, and AD&D insurance
  • Flexible Spending Accounts / Health Savings Accounts
  • 401(k)
  • Leadership and professional development opportunities
  • EEO Statement

    North American Partners in Anesthesia is an equal opportunity employer.

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    Specialist • Melville