Warbird Consulting Partners seeks experienced Provider Enrollment Specialists to process enrollment applications for Physicians and/or other medical providers with Medicare/Medicaid and Commercial payers. This role is in Dallas, TX and successful candidates will be required to work onsite. The Enrollment representatives work with internal teams, providers, Medicare, and Medicaid to assist in completing the enrollment process for medical providers.
Duties and Essential Functions
- Updates status of enrollment applications in database so other teams can access information.
- Compiles documents, researches, and acts as liaison between the enrollment entity and provider obtaining updates on the status of applications and reporting progress.
- Completes Enrollment Applications for the Providers and make them available for the physicians for review, revision, and approval prior to submission to the Agency.
- Communicates with Medicare/Medicaid and Commercial payers regarding specific enrolling questions and updates profiles accordingly.
- Assists with initiating and executing payer contracts for individuals and groups.
- Create and maintain profiles for providers.
- Effectively manage large amounts of information and documentation.
- Run reports for weekly updates to management on enrollment and contracting statuses.
- Work with Revenue Cycle to resolve held AR issues
- Cross train within department to support credentialing operations (providing back-up support for credentialing files, PTO, etc.)
- Participate in various education/training as required.
- Comply with HIPPA and Corporate Compliance program policies and other applicable corporate and departmental policies.
- Maintain privacy and confidentiality at all times.
- Enter data into SalesForce database for providers
Qualification
- High School Diploma or Associates degree
- 2-5 years Provider Enrollment and/or Medical Billing/Revenue Cycle experience
- Ability to work onsite at Dallas (TX 75201)7520175201