Provider Enrollment Specialist
Hornet Staffing, Inc. (a GEE Group company) - Irving, 75039, TX (Onsite)
Join a reputable and established healthcare organization as an Enrollment Specialist in an in-office role.
$23 - 25.00 per hour to start!
A stable schedule with no nights or weekends while building your career in a supportive, professional environment.
Job Description & Responsibilities :
- Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers.
- Serves as administrator for the billing system and assists practices with system issues.
- Maintains NPI files and provider numbers.
- Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement.
- 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
- Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals
- Collects and reviews managed care contracts for correct billing and payment terms
- Reviews Athena correspondence and unpostables.