Provider Enrollment Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate and authenticate applications for medical provider enrollment, encompassing initial enrollments, re-enrollments, reactivations, and updates.

• Confirm provider information through internal systems and external sources; establish and test EFT accounts.

• Input and refresh provider details in enrollment databases and directories.

• Engage with providers, agencies, and internal teams to address discrepancies.

• Provide application materials and process instructions to prospective enrollees.

• Support special projects, enhance processes, educate providers, and assist with system testing.

• Take part in growth and development opportunities within the position.

⛳️ Requirements

• Must be prepared to undergo and successfully complete an EAU CMS Background Check, including fingerprinting.

• Experience in managing CMS 855 applications.

• Familiarity with PECOS utilization.

• Background as a customer service representative (CSR).

• Prior experience in provider enrollment for Medicare.

• High school diploma or equivalent is required.

• Proficiency in word processing applications.

• Strong skills in judgment, organization, and customer service.

• Effective verbal and written communication abilities.

• Good command of grammar, spelling, and punctuation.

• Basic proficiency in business math.

• Ability for analytical and critical thinking.

• Discretion in managing confidential information.

• Proficient in Microsoft Office.

• Must reside and work from an eligible U.S. state upon hiring and throughout employment.

• Background checks and drug testing will be conducted prior to the commencement of employment.

🏝️ Benefits

• 401(k) plan with company matching.

• Paid Time Off (PTO) that increases with tenure.

• Comprehensive Health, Vision, and Dental coverage.

• Company-sponsored Life Insurance and optional Voluntary Life Insurance.

• Short Term and Long Term Disability benefits.