Provider Enrollment Specialist

Provider Enrollment Specialist

Location: Austin, TX

Pay Rate: $22/hr.
 

We are seeking detail-oriented Provider Enrollment Specialists to support Medicaid provider enrollment and file maintenance operations. This role will interact professionally with healthcare providers and ancillary staff to respond to inquiries, resolve application issues, and ensure provider enrollment records are processed accurately and timely.

Key Responsibilities

• Process assigned provider enrollment applications and maintenance requests through completion using documented work instructions while meeting daily productivity targets. 
• Review applications for incomplete, inaccurate, or missing information and notify providers of deficiencies.
• Revise existing deficiencies and submit corrections based on quality assurance audits as needed.
• Respond to provider inquiries regarding application status, enrollment updates, and file maintenance requests.
• Research and contact providers by phone when needed to resolve enrollment application deficiencies.
• Maintain strict confidentiality of provider information and job files in accordance with HIPAA requirements.
• Follow quality assurance standards to support accurate daily processing of applications and file maintenance transactions.
• Make recommendations to leadership to improve process efficiency and effectiveness.
• Adapt to changing priorities, strategies, and production requirements in a fast-paced environment.
• Work overtime as needed based on daily production inventory needs.
• Perform other duties as assigned by leadership.

Required Qualifications

• Minimum of 6 months of experience with healthcare provider enrollment and credentialing.
• Minimum of 1 year of experience in customer service, data entry, administrative processing, healthcare operations, or a related field.
• Mid to high-level computer skills, including proficiency with Microsoft Office.
• Strong attention to detail and commitment to quality.
• Excellent verbal and written communication skills.
• Ability to work independently, think critically, and analyze provider enrollment information.
• Self-motivated, dependable, and able to accept direction while completing assigned tasks.
• Willingness to learn multiple enrollment types and maintain ongoing competency in assigned responsibilities.

Ideal Candidate Profile

The ideal candidate will have prior experience processing healthcare provider enrollment, Medicaid enrollment, credentialing, provider maintenance, or healthcare administrative files. This position is a strong fit for someone who is accurate, organized, quality-focused, and comfortable working with providers to resolve documentation issues in a production-based environment.

Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
 
 We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
 
 MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
 
 We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com 
 
 Benefits with MMC Group
 MMC offers health insurance plans for our active candidates on assignment, including:

• Medical, dental, and vision coverage
• Life and disability insurance
• Additional voluntary benefits

  Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
 
 MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
 
 Get started on your career journey today! Apply to become a part of the MMC Team!
 
 We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.