Enrollment Provider (4 openings) Jobs in Bedford MA \ Administrative Job Recruiters

Administrative

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Bedford, MA 01730

Posted: 11/16/2023 Employment Type: Contract To Hire Job Category: Administrative Job Number: 541761 Is job remote?: No Country: United States

Job Description

Purpose
Perform all provider enrollment related procedures for physicians/mid-level providers to ensure groups can submit claims to insurance carriers for reimbursement.
Duties and Responsibilities

Process provider enrollment applications for providers/groups
Research insurance provider enrollment requirements by state
Enter group/individual data to credentialing system
Prepare and submit provider enrollment applications to insurance carriers
Follow-up on provider enrollment applications with provider, insurance company or client sites
Interact with providers via phone or email as needed
Collaborate with Account Managers to resolve provider denials
Update/Maintain Provider Enrollment Credentialing System
Attends conference calls with clients as requested

Qualifications
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Computer Skills
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Experience
One to two years related experience preferred.
Specific Job Knowledge, Skill and Ability

Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
Ability to compute rates, ratios and percentages
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to communicate effectively verbally and in writing
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

The staffing industry has seen an increase in people falsely representing themselves as recruiters to gather personal information from job seekers. For your safety, do not provide sensitive data to anyone you have not spoken with thoroughly, never provide banking information during the application process and always double check the email address of the recruiter to ensure it’s from @planet-pro.com - and not a domain with an alternative extension like .net, .org or .jobs. Candidate safety is a top priority at Planet Professional.

Planet Professional and The Planet Group of Companies are equal opportunity employers. It is our practice not to discriminate against any employee or applicant based on any criteria, condition or basis protected by laws or regulations in the locations where we do business. All qualified applicants are encouraged to apply. We celebrate diversity and are committed to providing an environment of mutual respect. We believe that diversity, equity and inclusion enable us to better meet our mission and values while serving our clients across the globe. If you have a disability or handicap and would like us to accommodate you in any reasonable way, please inform your recruiter, or contact us, so that we can discuss the appropriate alternatives available.

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Administrative

Enrollment Provider (4 openings)

Job Description

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