Provider Enrollment Representative

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off
• Day 1 HMO with 2 of your dependents covered for FREE
• Medical Cash Allowance
• Rice Allowance
• Clothing Allowance
• Free Lunch Daily
• Paid Time Off
• Training and Staff Development
• Employee Engagement Activities
• Opportunities for Internal Mobility

The Provider Enrollment Representative is responsible for credentialing/enrolling new and established health care providers and maintenance of required information.

Duties and Responsibilities

• Meets with providers to explain process and sign applications.
• Collects, updates, maintains necessary provider information and documentation and verifies the information where possible.
• Establishes and maintains data entry in CAQH.
• Prepares provider enrollment applications for all initial applications and re-credentialing in a timely and complete manner.
• Verifies provider and group information with insurance companies (addresses, contracted plans, provider ID numbers, etc.).
• Coordinates information for enrollment and termination of all providers.
• Handles enrollment with Medicare, Medicaid, commercial insurances.
• Contributes to the departmental process and procedures with a collaborative approach.
• Performs other duties as requested.

Qualifications

• High School graduate or equivalent.
• Minimum of 2 years of provider enrollment experience.
• Knowledge of Microsoft Word, Outlook, Excel, CAQH.
• Billing knowledge and experience preferred.
• Must be amenable to work in shifting schedules, including US hours.
• Must be willing to work onsite.