EnableComp, LLC
  • CAID
  • USA
  • Full Time

Comprehensive Benefits package including 401k!

Our Mission

We partner with healthcare providers to maximize reimbursement from complex claims payers by having the best people, processes, products and performance.

Our Vision

We enable healthcare providers to do what they do best.

Position Summary

The Provider Enrollment has primary responsibility for oversight and maintenance of the professional and facility enrollment process. This will include submission of both online and paper applications.

Key Responsibilities

  • Collect, verify and submit information necessary for the enrollment of hospitals/physicians with Out-of-State Medicaid payers. Develop and maintain ongoing policy and procedures specific to each state for new hospital/physician enrollments.
  • Maintain working knowledge of hospital/physician Out-of-State Medicaid enrollment requirements and regulations. Ensure appropriate education and communication is shared with internal team members, including the Vice President and Senior Vice President of Operations.
  • Submits re-enrollment applications in a timely manner to ensure hospitals/physicians are up to date with their enrollment status.
  • Establish, maintain, and constantly review the accuracy of Out-of-State Medicaid requirements to ensure compliance with government rules and regulations.
  • Managing work queue to ensure all timely submissions/deadlines of all payor-specific forms and documents to the various health plans including license updates, deficiency notifications, approval letters, etc.
  • All maintenance of the provider file and communication of provider changes, corrections, and terminations documented in the database.

Requirements and Qualifications

  • Thorough understanding of the enrollment requirements and documents needed for the accurate completion of applications
  • Excellent customer service skills are a must
  • Strong organization skills
  • The successful candidate will be able to demonstrate past accomplishments with a capacity to work continuously at a highly detailed level
  • The ability to meticulously follow up on and document work assignments, accuracy, and critical thinking
  • Proficiency with Microsoft Office
  • Minimum of 2 years administrative healthcare experience
  • Ability to learn quickly, prioritize and manage time
  • Can work effectively as part of a team, as well as, independently
  • Healthcare billing office background experience preferred
  • Knowledge of general credentials and licenses is preferred but not required: hospital license, CLIA, DEA, NPI, board certifications, etc.
  • High School diploma or equivalent required

Special Considerations and Prerequisites

  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
  • Poised, polished professional that functions with a high level of integrity, confidentiality and excellence.
  • Handles high pressure situations appropriately and exercises extreme judgement when handling confidential matters.
  • Enjoys working in a fast-paced environment.
  • Demonstrated propensity to take initiative.
  • Strong follow through and customer service orientation.
  • Highly detail-oriented and must be able to manage conflicting priorities, while being extremely adaptable and flexible.
  • Excellent interpersonal skills in addition to superior written and verbal communication skills.
  • General office environment must be able to lift 20 pounds.

EnableComp, LLC
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