Provider Enrollment Specialist
Company: i3 Verticals - ACS
Location: Alexandria
Posted on: May 26, 2023
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Job Description:
JOB TITLE: Provider Enrollment
Specialist/CredentialingSUPERVISION RECEIVED: Reports to Provider
Enrollment Manager.LOCATION: Alexandria, LAGENERAL SUMMARY OF
DUTIES: Responsible for all aspects of the credentialing,
re-credentialing, and contracting processes for medical providers
in private practice or group settings.ESSENTIAL FUNCTIONS:Prepare
and submit Governmental and Private Carrier applications for
initial submission and re-credentialing and follow-up as
needed.Acquire and process new Managed Care Agreements.Maintain
detailed log of all pending and completed work.Apply and update NPI
Numbers through the NPI Website.Apply and maintain EDI, EFT & ERA
processes.Maintains strictest confidentiality.Follows established
policies and procedures listed in the Employee Handbook, ACS
Practice Management, Compliance and HIPPA Manuals.The job holder
must demonstrate competencies applicable to the job position while
performing duties in a professional and courteous
manner.EDUCATION:High school diploma or GED.SKILLS &
KNOWLEDGE:Knowledge and understanding of the
credentialing/enrollment process.Knowledge of Governmental and
Private Provider enrollment processes and applications for
Louisiana and other States.Knowledge of CMS Federal and State
Guidelines.Knowledge of Prime Source Verification.Knowledge of
CAQH.Proficient use of Microsoft Office Word, Excel, and
Outlook.Knowledge of grammar, spelling and punctuation to type
correspondence.ABILITIES:Ability to read, understand and follow
oral and written instruction.Ability to sort and file materials
correctly by alphabetic or numeric systems.Ability to organize and
prioritize work and manage multiple priorities.Ability to
communicate clearly and concisely.Ability to establish and maintain
effective working relationships with patients, employees and the
public.
Keywords: i3 Verticals - ACS, Alexandria , Provider Enrollment Specialist, Other , Alexandria, Louisiana
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