Prov Enroll Specialist Team Lead

Position responsibilities

• Excellent attention to detail, ability to research and analyze data.
• Compiles and maintains current and accurate data of all providers.
• Completes provider credentialing and recredentialing applications, monitors application and follows-up as needed.
• Ability to establish and maintain effective working relationships with providers and Payers outside the organization.
• Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
• Knowledge and understanding of the credentialing process.
• Maintains confidentiality of provider information
• Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.

Education and experience

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous insurance/Medicaid billing/customer service experience preferred.
• Proficient personal computer skills, including Microsoft Office.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to adapt to a flexible schedule.
• Ability to maintain the highest level of confidentiality.
• Must have effective organizational skills and a high attention to detail
• Medical terminology
• Must demonstrate the ability to adapt to change, maintain professionalism in challenging situations, and work in a Business professional environment.

Work environment / physical requirements

• Work environment is an office location. The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse, and telephone.
• Occasional lifting may be required up to 25 lbs.
• Must be able to sit for extended periods of time with frequent bending and stooping

Additional Notes

• This role profile is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.
• Must possess the ability to work independently, have excellent customer service and communication skills, patience, flexibility, and the ambition to achieve goals. Fast paced environment with multiple facilities.

GetixHealth is an equal employment opportunity employer.