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Caring Hands Healthcare Centers INC

Provider Services Support

Career Insights for Enrollment Specialist

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Based on Oklahoma data

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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.

$44,932 / year median in Oklahoma

+14% projected growth

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Job Description

Position Summary The Provider Services Support serves a dual role focused on enhancing the patient experience while supporting the organization's provider credentialing and privileging processes. This position assists patients with financial assistance, insurance enrollment, and care coordination while also providing administrative support for provider credentialing, enrollment, and privileging by ensuring accurate and timely data entry, document collection, and maintenance of provider records. Essential Job Duties Patient Support Responsibilities Identify eligible patients and enroll them in available assistance programs. Coordinate services for patients and prioritize workload to meet deadlines. Assist uninsured and underinsured patients with obtaining health insurance coverage. Conduct financial assessments for Sliding Fee Scale eligibility with patients with balances. Review patient income, benefits, and supporting documentation to determine financial assistance eligibility. Prepare and process Good Faith Estimates (GFEs), including estimates and required mailings. Verify patient eligibility pertaining to GFE's and assist with outstanding balances. Answer questions regarding payment plans and financial assistance. Assist with Marketplace and Medicare enrollment activities. Complete additional duties as assigned. Provider Credentialing & Privileging Responsibilities Perform accurate data entry for provider credentialing, enrollment, and privileging activities as assigned. Monitor expiration dates and notify providers and leadership of upcoming renewals. Collect required credentialing documents from providers. Enter and maintain provider demographic information within credentialing software, EHR, payer portals, and internal databases. Assist with provider enrollment applications. Maintain confidentiality of provider records and sensitive information. Assist with credentialing audits and regulatory compliance activities. Maintain accurate provider rosters and assist with updates to internal directories. Generate reports regarding credentialing status, expirations, and outstanding documentation. Assist with special projects related to provider enrollment, credentialing, privileging, and compliance.
Pay:
From $16.04 per hour
Benefits:
Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance
Work Location:
In person