We’re seeking a Provider Enrolment Specialist to work for the leading not-for-profit healthcare system in Bradenton, FL. With us, it’s all about finding the job that’s just right.

What’s a typical day as a Provider Enrollment Specialist? You will:

• Assist with all aspects of the insurance provider enrollment process for the organization. Enrollment includes both facility and professional providers to participate in government programs and commercial payer networks
• Maintain excellent relations and liaisons between payers, clinics, and providers to ensure participation status is managed promptly and accurately.
• Be responsible for initial credentialing with insurance companies
• Ensure that the credentialing and re-credentialing process is completed in its’ entirety in a timely manner by individual providers, as well as by the organization
• Notify the appropriate managers of any credentialing issues, status on outstanding applications, changes with contracted insurance companies, and new plans within the company’s services delivery area
• Handle telephone communications to answer credentialing and staff questions regarding provider participation, credentials, documentation, etc.
• Obtain signatures in the field as required to complete the credentialing process.

This job might be an outstanding fit if you have:

• High School Graduate or GED equivalent
• Minimum of two (2) years of experience preferred
• Must be able to organize data for easy retrieval
• Must have working knowledge in Managed Care • Must have working knowledge in Medicaid, Medicare, and private insurance
• Must have experience and/or education in computer data entry
• Must demonstrate interpersonal skills in written and oral communication, problem-solving, and teamwork

Job Types: Full-time, Contract

Pay: $21.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Bradenton, FL 34205: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Managed care: 2 years (Required)

Work Location: In person

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