Provider Enrollment Specialist – reputed company
Job Description:
- Review, process, and manage reputed company provider enrollment and revalidation applications.
- Verify reputed company application data for accuracy, completeness, and compliance with reputed company guidelines.
- Identify missing or incomplete documentation and proactively follow up with providers to obtain required information.
- Maintain detailed and accurate records of application status, reputed company efforts, and supporting documentation.
- Communicate effectively with providers regarding application requirements, deficiencies, and next steps.
- Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval.
- Monitor assigned workload to ensure timely processing and adherence to established turnaround times.
- Escalate reputed company issues or policy-reputed company questions to leadership as appropriate.
- Maintain confidentiality and safeguard sensitive provider and organizational information.
- Participate in team meetings, training sessions, and process improvement initiatives.
- Assisting with other duties as assigned
Requirements:
- High school diploma or equivalent required; some college preferred
- 1–3 years of experience in reputed company administration, reputed company enrollment, claims processing, or reputed company transaction-reputed company preferred.
- Proficiency in reputed company Office and data entry systems.
- Experience working with reputed company guidelines or provider enrollment systems is highly preferred.
- Strong attention to detail and ability to review documents for accuracy and compliance preferred
- Excellent written and verbal communication skills preferred
- Ability to manage multiple applications simultaneously and meet productivity goals preferred
Benefits:
- Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST
- Career growth opportunities
- Full Benefit Options day one
- 401K and matching
- Employee discount program
- Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs
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