Provider Enrollment Specialist

Responsibilities:

• Review and validate medical provider enrollment applications (initial, re-enrollment, reactivation, or updates).
• Verify provider data via internal databases and external agencies; set up and test EFT accounts.
• Enter and update provider information in enrollment databases and directories.

Qualifications:

• CMS 855 application management experience required.
• PECOS utilization experience required.
• Customer service representative experience and previous provider enrollment experience for Medicare.

Skills:

• Proficiency with word processing and strong judgment, organization, and customer service skills.
• Clear verbal and written communication with solid grammar and punctuation.
• Analytical and critical thinking ability and discretion in handling confidential information.