Insurance Provider Enrollment Position Available In Hillsborough, Florida
Tallo's Job Summary: Insurance Provider Enrollment position in Tampa, FL. Responsibilities include entering provider information, verifying licensure and certifications, maintaining credentialing system integrity, assisting with approvals, and completing special projects. Requires strong interpersonal skills, proficiency in software, organizational ability, and willingness to work over 40 hours per week if needed. Full-time contract role with pay up to $20.00 per hour. Benefits include dental and health insurance, flexible schedule, paid time off, and remote work option.
Job Description
Insurance Provider Enrollment 3.5 3.5 out of 5 stars Tampa, FL 33602 • Hybrid work
PRIMARY JOB RESPONSIBILITIES
Enter all provider information into credentialing database Verify potential and existing providers licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification. Review National Practitioners Data Bank for adverse charges pending or filed against Provider. Review federal and/ or state OIG and SAM report for exclusion from the Medicaid or Medicare program. Review state Medicare OPT Out report for exclusion from the Medicare program. Maintain the integrity of the provider information in the credentialing system. Assist with processing provider approvals. Ensures credentialing file is in order with any issues flagged for committee. Meet required turnaround time and accuracy rate. Coordinate and complete special projects as needed. Assist with the ongoing NCQA certification activities. Represent in a professional manner at all times while communicating with internal and external requestors. Maintains confidentiality of the credentialing information. Other duties as needed or required.
Required:
Strong interpersonal skills. Ability to work independently. Excellent oral and written communication skills. Proficient using department software (Credentialing and Enrollment Systems, Word, Excel, Outlook, WorkFlow Software, Time Tracking Systems). Ability to learn new software programs quickly. Systematic, detail oriented, process and outcome driven. Ability to prioritize and organize multiple tasks. Ability to remain organized with multiple interruptions. Excellent customer service and problem resolution skills. Ability to independently or with minimal guidance, complete assigned projects/tasks. Ability to use good judgment and make quick independent decisions. Cooperative, professional and effective interaction skills with co-workers, company staff and clients. Active participation in team/department meeting and assist department in identifying areas of opportunity while driving solutions. Ability to work in excess of 40 hours per week, as needed or required to meet business objectives. Required to attend additional training as requested/deemed necessary. Proficient in general computer software (Word, Outlook, PowerPoint)
Job Types:
Full-time, Contract Pay:
Up to $20.00 per hour
Benefits:
Dental insurance Flexible schedule Health insurance Paid time off Work from home Ability to
Commute:
Tampa, FL 33602 (Required) Ability to
Relocate:
Tampa, FL 33602: Relocate before starting work (Required)
Work Location:
Hybrid remote in Tampa, FL 33602
