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Location

Cleveland, OH | United States

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Job description

01 - 172575 ge

A local medical practice is seeking a Medical Enrollment Specialist who will be responsible for enrollment, credentialing, re-enrollment and re-credentialing of the organization and its healthcare providers with all commercial and governmental payers. This is a first shift opportunity.

Job Responsibilities:

Accurately complete the enrollment/re-enrollment applications for all providers
Prepare, submit, and manage Medicaid and Medicare applications and revalidations
Compile, update, and manage current and accurate data for providers and follow-up on the status of applications, receiving, tracking, and monitoring issues
Follow-up with Insurance carriers, maintain detailed enrollment files, and electronically receive and scan documents
Maintain credentialing spreadsheets, and respond to, research, and resolve problems with provider network
Understand specific applications requirements for each payer and complete EDI, ERA, and EFT enrollment
Maintain knowledge of current health plan and agency requirements for credentialing providers
Maintain confidentiality and follow office policies and procedures
Perform other duties as needed

Job Qualifications:

Must have 3 years of Provider Enrollment workflow experience to include CAQHC
Must have at least 3 years physician billing experience
Must be familiar with Medicare, Medicaid, and health care regulations, billing, and reporting
Proficient Microsoft Word, Excel, and Outlook skills are required
Must have excellent oral and written communication, as well as, customer service skills
Must be highly organized and capable of meeting enrollment and credentialing deadlines
Must be fluent in English; Spanish speaking is preferred
Must be able to abide by all policies, procedures, and confidentiality rules
Only candidate that can pass a background, credit check, and drug screen will be considered.

Area Temps still believes that the best way to serve both our employees and our customers is through personal service. To apply for this Medical Enrollment Specialist position, please call (216) 348-6209, or TEXT "your name & 172575" to (216) 227-3133.
Employment Type: Full-Time
Salary: $ 15.00 19.00 Per Year

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Job tags

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Salary