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Medical Provider Resources, Inc.

Provider Enrollment Specialist

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What they do

An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.

$49,137 / year median in Kansas

+8% projected growth

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Job Description

Provider Enrollment Specialist Medical Provider Resources, Inc. - 4.4 Wichita, KS Job Details Permanent 1 day ago Benefits Paid time off Flexible schedule Qualifications Computer operation Customer communication Confidential information handling Computer literacy Provider enrollment for medical credentialing Health insurance knowledge Full Job Description Come join our
GROWING TEAM
! We are currently hiring additional team members!
Work Location:
in person only in Wichita, KS or Kansas City, MO You'll join a team that values your ideas, invests in your growth, and believes you shouldn't have to choose between doing excellent work and having a life outside of work. Benefits include : 28 days of PTO/holidays/mental health/volunteer time in the first full calendar year Growth Opportunities Cross-training Career Development Program Team Member Appreciation Flexible Schedules
MINIMUM REQUIREMENTS
Competency Knowledge of payer enrollment processes and requirements, including PECOS and CAQH. Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a fast-paced environment. Demonstrate accuracy, organizational and problem-solving skills. Excellent verbal and written communication skills. Ability to work independently. Maintains confidentiality. Required Education and Experience (Provider Enrollment Specialist II) 3+ years of Provider Enrollment Experience preferred. Must be working toward PE Certification. Experience with CAQH and PECOS. Proficient in Microsoft 365. Familiar with Internet. Excellent written and verbal communication skills. Experience with credentialing software. Preferred Education and Experience (Provider Enrollment Specialist III) Relevant education and certification a plus. 5+ years of experience preferred.
MAIN DUTIES
Enroll medical providers in health plans. Coordinates credentialing data needed for enrollment, contracting, and other related purposes. Creation and maintenance of CAQH Application. Ongoing monitoring and support of provider documentation including Kansas State or Other State Licensure, DEA, NPI, Certificate of Insurance and other documents as required by the regulatory agencies. Complete Third-Party Payer Applications. The ability to work with diverse internal and external customers. Terminating providers with current practice from the request of the client. Wage amount will commensurate with experience.