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Provider Enrollment Specialist
i3 Verticals - ACS Lafayette, LA
$62k-78k (estimate)
Full Time 0 Months Ago
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i3 Verticals - ACS is Hiring a Provider Enrollment Specialist Near Lafayette, LA

JOB TITLE: Provider Enrollment Specialist/Credentialing
SUPERVISION RECEIVED: Reports to Provider Enrollment Manager.
LOCATION: Lafayette, LA
GENERAL SUMMARY OF DUTIES: Responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in private practice or group settings.

ESSENTIAL FUNCTIONS:
  • Prepare and submit Governmental and Private Carrier applications for initial submission and re-credentialing and follow-up as needed.
  • Acquire and process new Managed Care Agreements.
  • Maintain detailed log of all pending and completed work.
  • Apply and update NPI Numbers through the NPI Website.
  • Apply and maintain EDI, EFT & ERA processes.
  • Maintains strictest confidentiality.
  • Follows established policies and procedures listed in the Employee Handbook, ACS Practice Management, Compliance and HIPPA Manuals.
  • The job holder must demonstrate competencies applicable to the job position while performing duties in a professional and courteous manner.
EDUCATION:
  • High school diploma or GED.
SKILLS & KNOWLEDGE:
  • Knowledge and understanding of the credentialing/enrollment process.
  • Knowledge of Governmental and Private Provider enrollment processes and applications for Louisiana and other States.
  • Knowledge of CMS Federal and State Guidelines.
  • Knowledge of Prime Source Verification.
  • Knowledge of CAQH.
  • Proficient use of Microsoft Office Word, Excel, and Outlook.
  • Knowledge of grammar, spelling and punctuation to type correspondence.
ABILITIES:
  • Ability to read, understand and follow oral and written instruction.
  • Ability to sort and file materials correctly by alphabetic or numeric systems.
  • Ability to organize and prioritize work and manage multiple priorities.
  • Ability to communicate clearly and concisely.
  • Ability to establish and maintain effective working relationships with patients, employees and the public.

Job Summary

JOB TYPE

Full Time

SALARY

$62k-78k (estimate)

POST DATE

06/10/2023

EXPIRATION DATE

07/04/2024

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