Provider Enrollment Specialist \ Direct PlacementContract3Contract - Contract

TalentBurst, Inc.

Irving, TX

Apply

JOB DETAILS

SALARY

$23–$25 Per Hour

SKILLS

Accounts Receivable Management, Billing, Claims Processing, Contract Review, Correctional Health, Customer Support/Service, Data Collection, File Maintenance, Identify Issues, Insurance, Managed Care, Medicaid, Medical Billing, Medicare, Microsoft Access Database, Microsoft Excel, Microsoft Word, Product/Service Launch, Provider Contracting, Reimbursement, Reporting Skills, Staff Training, Systems Administration/Management, User Interface/Experience (UI/UX)

LOCATION

Irving, TX

POSTED

2 days ago

Provider Enrollment Specialist \ 1232
Irving, TX 75039 - ONSITE
Shift: 8 AM - 5 PM Monday-Friday

Notes: Submit with proof of education; High School Diploma or equivalent (GED)
1-3 years of Payer Enrollment experience Solid knowledge of PC applications to include WORD, EXCEL, ACCESS.

Summary:
Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for the billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments to maximize reimbursement. Interacts with patients, insurance carriers, the billing vendor, and practice personnel concerning patient accounts. Performs all functions in a courteous and professional manner. Responsibilities: Collects and maintains data on providers for Medicare and Medicaid enrollment Prepares and submits applications to Medicare and Medicaid for new provider enrollments and existing provider updates; follows up by telephone or in writing, with carriers regarding application status Complies with Medicare and Medicaid provider enrollment guidelines Requests NPI numbers for providers and clinics as necessary and maintains NPI files Follows up, either by telephone or in writing, with insurance companies and patients regarding the processing of outstanding claims and/or appeals Generates various reports to identify outstanding claims issues with provider numbers and non-payment Communicates information to appropriate personnel Educates staff on corrections, e.g.. front-end entry errors in a positive, constructive manner Collects and reviews managed care contracts for correct billing and payment terms Identifies problem accounts.

#TB_PH
#ZRHC

About the Company

TalentBurst, Inc.

For over 20 years, TalentBurst Inc. has been an award-winning provider of cutting-edge Workforce Management Solutions. With a strong commitment to staying ahead in the tech landscape, we pioneer innovative approaches to talent acquisition. Our expertise spans Life Sciences, and Healthcare Staffing, Banking, Financial, IT, and Engineering, as well as Global Employer of Record (EOR), Agent of Record (AOR), State, Local Government and Education (SLED), and IC validation/compliance services. Additionally, our division, TalentProcure, leads the industry with offerings such as High Hazard Payroll, Managed Services, and Vendor on Premise (VOP) solutions.

Due to our prioritization of excellent standards, we are Joint Commission Certified and are a certified Minority Business Enterprise (MBE) in the USA and Canada. Supporting over 130 Fortune 500 companies globally, we excel in navigating the landscape of talent acquisition. In a world of constant change, we embrace developing people-centric solutions that address the unique demands of our clients. Stay connected by visiting our website and following us on social media!

COMPANY SIZE

5,000 to 9,999 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

2002

WEBSITE

http://www.talentburst.com/

Resume Resources

Free Resume Templates Free Resume Builder