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Provider Enrollment Coordinator

ICONMA

Role overview

Qualifications

  • High School Diploma or equivalent
  • 3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
  • 3+ years of provider enrollment experience
  • In-depth knowledge of provider enrollment requirements for Government agencies, payor organizations, and insurance regulations

Responsibilities

  • Ensure the accuracy and timeliness of updates to internal databases.
  • Handle confidential information with integrity and maintain data in internal and external databases.
  • Cultivate professional interactions with co-workers, clients, providers, and vendors.
  • Respond promptly to inquiries and provide clear explanations of requirements.

Key facts

Hard skills

Enrollment Management Data Management Insurance Policies Health Insurance Portability And Accountability Act (HIPAA) Compliance Healthcare Industry Knowledge

Other skills

  • Client Confidentiality
  • Detail Oriented
  • Organizational Skills
  • Microsoft Excel
  • Microsoft Outlook
  • Communication
  • Teamwork
  • Problem Solving

About the company

ICONMA logo

ICONMA

Management Consulting

We provide Professional Staffing Services & Project-Based Solutions for a broad range of Fortune 500 organizations. ICONMA is a certified Woman-Owned staffing company and was founded in 2000. ICONMA’s corporate headquarters is in Troy, Michigan, and has 15+ locations worldwide. What makes ICONMA stand out in a fiercely competitive industry? *We provide integrated, full lifecycle services across a broad range of business and technical platforms. *No single company can duplicate our full range of staffing and permanent recruiting services nationwide. *Proven track record of attracting and retaining exceedingly skilled professional workers in a highly competitive market. SERVICES OFFERED Staff Augmentation (Contract, Contract to Hire, Direct Hire, Single Source) Data Analysis Project-Based Services & Solutions Hire Train Deploy Service Model Offshore Staff Augmentation Payroll Services AREAS OF EXPERTISE - Information Technology - Engineering - Business Professional - Accounting/Finance - Admin/Clerical/Call Center - Healthcare/Clinical/Scientific - Marketing/Creative mail linkedin@iconma.com Phone (888) 451-2519 Website http://www.iconma.com

Company details

Company typeLarge
IndustryManagement Consulting
Company size1001 - 5000

Links

Website LinkedIn See all jobs

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Job description

Our client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Provider Enrollment Coordinator for their Remote location.
 
Responsibilities:
  • The Provider Enrollment Coordinator is dedicated to ensuring the accuracy and timeliness of updates to internal databases, prioritizing the integrity of the provider file.
  • This role requires handling confidential information with the utmost integrity and involves the meticulous maintenance of data in both internal and external databases, serving the purpose of provider and payer enrollment.
  • Cultivate professional and effective interactions with co-workers, clients, providers, and vendors.
  • Respond promptly to inquiries, providing clear and comprehensive explanations of requirements.
  • Maintain continuous and open communication with payer representatives to ensure the appropriate enrollment of providers.
  • Exercise discretion and confidentiality when handling sensitive information.
  • Act as the primary point of contact for providers navigating the enrollment process, offering guidance and support.
  • Keep application information up to date in the company system, ensuring accuracy and completeness.
  • Manage information and documentation with a focus on confidentiality and security.
  • Meet and exceed required SLA and productivity standards.
  • Strive for efficiency and effectiveness in all aspects of the provider enrollment process.
  • Release individual claims for providers after thorough review and independently resubmit claims with necessary corrections.
  • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
 
Requirements:
  • High School Diploma or equivalent
  • 3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
  • 3+ years of provider enrollment experience
  • In-depth knowledge of provider enrollment requirements for Government agencies, payor organizations, and insurance regulations
  • Proficient in rapidly acquiring proficiency in new software programs
  • Substantial experience in dealing with Medicare, Commercial Healthcare insurance, and Medicaid agencies
  • Demonstrated ability to effectively prioritize and organize multiple tasks
  • Exceptional attention to detail
  • Proven ability to thrive in a team-oriented environment, coupled with excellent organizational, writing, and oral communication skills
  • Competency in Spread-sheet Design and advanced use of Excel
  • Practical experience with essential computer software, including Word, Excel, and Outlook.
 
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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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