Provider Enrollment Specialist jobs in United States
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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.

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Hiring Manager
Christine Davis
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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

Healthcare enrollment processesBilling systems

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!!

Company

Hornet Staffing, Inc, a GEE Group company

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Hornet’s delivery model is designed to support those clients utilizing an MSP or VMS.

Funding

Current Stage
Early Stage
Total Funding
unknown
2025-01-03Acquired

Leadership Team

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Laurel Lynn Bruce
Chief Financial Officer
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Company data provided by crunchbase