Provider Enrollment Specialist

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Medsuite Inc

WebsiteLinkedInAll Job Openings

1 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • SaaS • HealthTech

Medsuite Inc. is a digital platform designed to streamline healthcare management and improve patient care. It provides tools for healthcare providers to manage patient records, appointments, and communications efficiently, all while prioritizing user-friendly access for patients and providers alike.

📋 Description

• Works in conjunction with the Provider Enrollment Manager to identify Provider Payer Enrollment issues or denials. • Researches, resolves, and enrolls any payer issues, utilizing a variety of proprietary and external tools. • Contacts clients, operations personnel, and Centers for Medicare & Medicaid Services (CMS) via phone, email, or website. • Performs follow-up with market locations to research and resolve payer enrollment issues. • Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications. • Maintains documentation and reporting regarding payer enrollments in process. • Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team.

🎯 Requirements

• Associate's degree (2 years), required • Bachelor's degree in any related field, preferred • At least one (1) year of provider enrollment experience preferred. • Working knowledge of specific application requirements for Centers for Medicare & Medicaid Services (CMS), State Medicaid and all third-party payers • Working knowledge of physician HIPAA Privacy & Security policies and procedures • Strong word processing, spreadsheet, database, and presentation software skills • Ability to ensure the complex enrollment packages are complete and correct • Ability to work independently and require little supervision, to focus on and accomplish tasks • Ability to maintain strict confidentiality with regards to protected provider and health information

🏖️ Benefits

• Ventra performance-based incentive plan • Referral bonus