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Provider Enrollment Specialist at APPALACHIAN REGIONAL HEALTHCARE INC

Hazard, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Apr, 26

Salary

0.0

Posted On

24 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Enrollment, Credentialing, Billing, Communication, Detail Oriented, Confidentiality, Documentation, Reporting, Windows, Word, Excel, Insurance Payers, Application Requirements, Supporting Documentation, Enrollment Process

Industry

Hospitals and Health Care

Description

Overview To perform the process of provider and group enrollment for the ARH system to include but not be limited to individual providers, clinics and hospitals. Responsibilities · Preparing enrollment applications for various insurance payers for individual providers, hospitals and clinics as well as other related entities. · Communicating with representatives from insurance payers on the status of applications in process or other provider enrollment issues. · Preparing rosters with provider and group information as needed. · Communicating with clinic managers, and other hospital and clinic staff regarding the enrollment process and information that may be needed · Understand specific application requirements for each payer including pre-requisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations. · Maintain documentation and reporting regarding provider enrollments in process. · Retain records related to completed provider enrollments. · Perform other duties as assigned Qualifications Education Associate Degree preferred. High School Diploma required. Minimum Work Experience Experience in the area(s) of provider enrollment, credentialing or billing is preferred. Required Skills, Knowledge, and Abilities · Must be proficient in Windows, Word, Excel and other computer skills. · Must be detail oriented and thorough in order to ensure the complex enrollment packages are complete and correct. · Must be able to communicate well with a wide variety of contacts at all levels of the organization. · Maintains strict confidentiality with regard to protected health information and provider information.

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Responsibilities

The Provider Enrollment Specialist is responsible for preparing enrollment applications for various insurance payers and communicating with representatives regarding the status of applications. They also maintain documentation and records related to provider enrollments.