Provider Enrollment Representative

Axelon Services Corporation; Boston (MA); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare services company based in Boston is seeking a qualified candidate to be responsible for the accurate setup of provider records to ensure proper payment for providers. The role requires a bachelor's degree and at least 2 years of experience in a managed care or healthcare setting. Ideal candidates should possess strong organizational and problem-solving skills, be familiar with Microsoft Office applications, and have effective communication skills. The ability to manage multiple tasks and work independently is essential.

Qualifications

• Bachelor's degree or an equivalent combination of education, training, and experience is required.
• 2 or more years of business experience in a managed care or healthcare setting is required.
• Must be able to work as part of a team, manage multiple tasks, be flexible, and work independently.

Responsibilities

• Responsible for accurate setup of provider records to ensure proper payment for providers.
• Handles all implementation steps to enroll providers in the Plan.

Skills

Teamwork

Organizational skills

Problem-solving

Data entry and proofing

Effective communication

ONYX/FACETS

Communication skills

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

ONYX

FACETS

Job description

Responsibilities

• Responsible for accurate setup of provider records to ensure 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

Qualifications:

• Education: Bachelor's degree or an equivalent combination of education, training, and experience is required.
• Experience: 2 or more years of business experience in a managed care or healthcare setting is required.

Competencies, Skills, and Attributes

Competencies, Skills, and Attributes:

• Ability to work as a team member, manage multiple tasks, be flexible, and work independently.
• Possess excellent organizational and problem-solving skills.
• Ability to accurately enter, proof, submit data and 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).