Provider Enrollment Specialist - Revenue Cycle

ummc

Clinton (MS)

On-site

USD 25,000 - 39,000

Full time

5 days ago
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Job summary

Rev Cycle - Professional Provider Enrollment in Clinton, MS seeks a Provider Enrollment Specialist to coordinate physician and allied health enrollment across government and third-party payers.

You will prepare applications, liaise with health plans, maintain records, and ensure timely revalidation while balancing multiple tasks with strong organization, communication, and computer skills. This role requires attention to deadlines and confidentiality, and functions within an integrated team.

Qualifications

  • High school diploma or GED is required.
  • Two years of healthcare claims, enrollment or credentialing experience.

Responsibilities

  • Prepare provider applications for third party payers.
  • Coordinate correspondence to carriers to expedite provider numbers.
  • Deliver provider applications to health plans, adhering to deadlines.
  • Follow up with health plans to expedite participation approvals.
  • Maintain systems to track health plan participation status.
  • Coordinate with insurers to maintain current applications and revalidation.
  • Keep provider number records up to date and protect confidentiality.
  • Participate in a team, follow processes for communication and efficiency.
  • Duties may change at management's discretion.

Skills

Provider enrollment
Organization
Time management
Communication
Computer skills

Education

High school diploma or GED
2 years healthcare claims/Provider Enrollment/credentialing experience

Job description

Rev Cycle - Professional Provider Enrollment in Clinton, MS seeks a Provider Enrollment Specialist to coordinate physician and allied health enrollment across government and third-party payers.

You will prepare applications, liaise with health plans, maintain records, and ensure timely revalidation while balancing multiple tasks with strong organization, communication, and computer skills. This role requires attention to deadlines and confidentiality, and functions within an integrated team.

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