Provider Enrollment Specialist

EyeCare Partners; Ballwin (MO); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Provider Enrollment Specialist to join their team, focusing on provider data management and credentialing. This role is crucial in maintaining accurate enrollment records and ensuring compliance with regulations. The ideal candidate will thrive in a fast-paced environment, showcasing exceptional communication and organizational skills while managing multiple priorities. If you are passionate about making a difference in the eye care field and enjoy working with a collaborative team, this opportunity is perfect for you. Join a company committed to enhancing vision and improving lives through quality care.

Qualifications

• 2+ years of related experience or training required.
• High School Diploma or GED is mandatory.

Responsibilities

• Manage multiple enrollments and priorities effectively.
• Keep provider enrollment data up-to-date and current.
• Serve as the first point of contact for provider requests.

Skills

Problem-solving skills

Communication skills

Detail-oriented

Organizational skills

Customer service skills

Critical thinking

Interpersonal skills

Education

High School Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Microsoft Outlook

Job description

4 days ago Be among the first 25 applicants

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

Job Title: Provider Enrollment Specialist

Job Summary

Our growing eye care organization has an immediate need for an experienced Provider Enrollment Specialist who is familiar with provider data management and credentialing. A successful individual in this role will manage multiple enrollments and priorities while providing support to the Supervisor of Provider Enrollment.

Duties And Responsibilities

• Serve as the first point of contact for internal office and provider requests.
• Keep all provider enrollment data up-to-date and current.
• Complete re-credentialing paperwork as needed.
• Keep all internal enrollment tracking methods up to date.
• Detailed understanding of Medicare, Medicaid, and Managed Care Plan regulations.
• Keep CAQH and NPPES updated with accurate and current information.
• Maintain constant contact with insurance payer representatives.
• Communicate enrollment updates and issues to leadership.
• Follow up with payers on outstanding enrollments on a weekly basis.
• Maintain all demographic changes for all providers.
• Maintain all hospital appointments and re-appointments.
• Performs other duties that may be necessary or in the best interest of the organization.

Education

High School Diploma or GED Required.

Experience Requirements

• 2+ years of related experience or training; equivalent combination of education and experience will be considered.

Knowledge, Skills And Abilities Requirements

• Professional in appearance and actions.
• Logical and Critical thinking skills for problem solving and analysis.
• In-depth knowledge of performance metrics.
• Customer-focused with excellent written, listening and verbal communication skills.
• Ability to maintain control of a call de-escalating issues and instilling confidence that a resolution will be found.
• Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines.
• Enjoys learning new technologies and systems.
• Detail oriented, professional attitude, reliable.
• Exhibits a positive attitude and is flexible in accepting work assignments and priorities.
• Meets attendance and tardiness expectations; ability to work overtime, if required.
• Management and organizational skills to support the leadership of this function.
• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations.
• Interpersonal skills to support customer service, functional, and teammate support need.
• Able to communicate effectively in English, both verbally and in writing.
• Ability for basic to intermediate problem solving, including mathematics.
• Intermediate computer operation.
• Proficiency with Microsoft Excel, Word, PowerPoint and Outlook.
• Specialty knowledge of systems relating to job function.
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines.

Physical Requirements

While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

If you need assistance with this application, please contact [phone].

EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly – only resumes submitted through this website will be considered.

Seniority level

• Associate

Employment type

• Full-time

Job function

• Other
• Industries: Medical Practices