Hornet Staffing, Inc, a GEE Group company · 2 weeks ago
Provider Enrollment Specialist
Hornet Staffing, Inc, a GEE Group company, is seeking a Provider Enrollment Specialist for their National Healthcare Organization Headquarters. The role involves coordinating Medicare and Medicaid enrollment processes, managing billing system issues, and serving as a liaison for customer service.
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
Qualification
Required
Experience in healthcare enrollment processes
Familiarity with billing systems
Must pass National and Federal background check and Education verification - HS Diploma/GED minimum
Benefits
Excellent benefits!!