Provider Engagement Coordinator

3 days ago


Chennai, Tamil Nadu, India beBeeEnroller Full time ₹ 8,50,000 - ₹ 13,50,000

Job Overview

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This role is responsible for researching, resolving, and enrolling payer issues. The Provider Enrollment Specialist will work in conjunction with the Manager to identify Provider Payer Enrollment issues or denials.

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The ideal candidate will have working knowledge of specific application requirements for Centers for Medicare & Medicaid Services (CMS), State Medicaid, and all third-party payers including pre-requisites, forms required, form completion requirements, supporting documentation such as Drug Enforcement Agency Number (DEA), Curriculum Vitae (CV), and regulations.

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Key Responsibilities:

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  • Perform follow-up with market locations to research and resolve payer enrollment issues">
  • Perform follow-up with Centers for Medicare & Medicaid Services (CMS), and other payer via phone, email or website to resolve any Payer Enrollment issues">
  • Maintain documentation and reporting regarding payer enrollments in process.">
  • Rretain records related to completed CMS applications">
  • Establish close working relationships with Clients, Operations, and Revenue Cycle Management team">
  • Proactively obtain, track, and manage all payer revalidation dates for all assigned groups/providers as well as complete, submit, and track the required applications to maintain active enrollment and prevent deactivation">
  • Maintain provider demographics in all applicable enrollment systems">
  • Add providers to all applicable systems and maintain information to ensure claims are held/released based on status of enrollment">
  • Perform special projects and other duties as assigned">
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Requirements:

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An associate's degree (2 years) is required, and a Bachelor's degree in a related field is preferred. At least one year of provider enrollment experience is also preferred.

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Skills and Qualifications:

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The ideal candidate will possess strong oral, written, and interpersonal communication skills. Strong word processing, spreadsheet, database, and presentation software skills are also necessary. Detail orientation, analytical, decision-making, problem-solving, organizational, time management, and teamwork skills are highly valued.

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