Provider Enrollment Specialist

Provider Enrollment Specialist

BCforward is currently seeking a highly motivated Provider Enrollment Specialist for an opportunity in Austin, TX 78727

Position Title: Provider Enrollment Specialist

Location: Austin, TX 78727

Anticipated Start Date: January 6th, 2025

Please note this is the target date and it is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 12+ months (with possibility of extension or conversion)

Job Type: Contract, 40 HRS WEEKLY, Onsite

Pay Range: $19 -$20/hr.

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Responsibilities:

• Interact professionally with providers and ancillary staff to provide appropriate and timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs (including dental, vision, ambulance, physicians, nurses, and all other provider types);
• Process to completion 100% of assigned applications and maintenance requests utilizing documented work instructions, daily and meeting minimum daily quotas.
• Identify deficiencies to notify providers of incomplete/inaccurate applications; revising existing deficiencies and sending corrections based on QA audits as required.
• Respond to inquiries regarding the status of applications received.
• Research and contact providers via phone to resolve enrollment application deficiencies.
• Adhere to the Quality Assurance program to improve the daily processing of applications and file maintenance transactions with a minimum quality score of 98%.
• Make recommendations to management to improve efficiency/effectiveness of current processes
• Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements.
• Flexibility to work overtime is dictated by daily production inventory requirements.
• Perform other duties as assigned by leadership.

Basic Qualifications:

• Minimum of 6 months of experience enrolling and credentialing healthcare providers.

Skills:

• Strong computer skills.
• Ability to meet strict deadlines.
• Great attention to detail.
• Excellent communication skills.
• Outstanding problem-solving and organizational abilities.
• Ability to multitask and manage time effectively.
• Flexibility and adaptability in a growing work environment.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 231804 when responding to this ad.

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