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Job Requirements of Provider Enrollment Representative:
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Employment Type:
Contractor
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Location:
Massachusetts, US (Onsite)
Do you meet the requirements for this job?
Provider Enrollment Representative
Careers Integrated Resources Inc
Massachusetts, US (Onsite)
Contractor
Summary:
Responsible for accurate set up of provider records in order to assure proper payment for providers.
Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.
Qualifications:
Education: Bachelors degree or an equivalent combination of education, training and experience is required.
Experience: 2 or more years business experience in a managed care or healthcare setting is required.
Competencies, Skills, and Attributes:
Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational and problem solving skills.
Ability to accurately enter, proof, submit data and to identify inaccurate data and process to resolution.
Demonstrated competence using Microsoft Office products especially Word, Excel, Outlook, Access, PowerPoint.
Experience or knowledge of ONYX, FACETS and/or similar provider data and/or claims processing system.
Effective communication skills (verbal and written).
Responsible for accurate set up of provider records in order to assure proper payment for providers.
Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.
Qualifications:
Education: Bachelors degree or an equivalent combination of education, training and experience is required.
Experience: 2 or more years business experience in a managed care or healthcare setting is required.
Competencies, Skills, and Attributes:
Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational and problem solving skills.
Ability to accurately enter, proof, submit data and to identify inaccurate data and process to resolution.
Demonstrated competence using Microsoft Office products especially Word, Excel, Outlook, Access, PowerPoint.
Experience or knowledge of ONYX, FACETS and/or similar provider data and/or claims processing system.
Effective communication skills (verbal and written).
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