Out-of-State Medicaid Enrollment Specialist

Job Summary

A company is looking for a Provider Enrollment Specialist.

Key Responsibilities

• Collect, verify, and submit enrollment information for hospitals/physicians with Out-of-State Medicaid payers
• Develop and maintain policies and procedures for new hospital/physician enrollments specific to each state
• Ensure compliance with Out-of-State Medicaid requirements and manage timely submissions of necessary documents

Requirements and Qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 1+ years' experience in the healthcare field, specifically in billing or collections
• 1+ years' client-facing/customer service experience
• Intermediate understanding of insurance payer/provider claims processing
• Strong computer proficiency, including MS Office applications