Job Description

Provider Enrollment Specialist- Medicare/Medicaid

$24.00-25.00 per hour

Fulltime ONSITE role in Irving Texas with no nights or weekends!

Excellent benefits!!

• Experience in healthcare enrollment processes.
• Familiarity with billing systems.

In office role-National Healthcare Organization Headquarters!

Responsibilities

• Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers.
• Serves as administrator for billing system and assists practices with system issues.
• Maintains NPI files and provider numbers.
• Serves as customer service liaison.
• Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement.
• Interacts with patients, insurance carriers, the billing vendor and practice personnel concerning patient accounts.
• Performs all functions in a courteous and professional manner.
• Collects and maintains data on providers for Medicare and Medicaid enrollment.
• Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing, with carriers regarding application status.
• Complies with Medicare and Medicaid provider enrollment guidelines.
• Requests NPI numbers for providers and clinics as necessary and maintains NPI files.
• Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals.

Qualifications

• Must pass National and Federal background check and Education verification - HS Diploma/GED minimum.

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