Duration: 03 Months contract with possible extension

Job Description:

• Responsible in the provider enrolment process to review, research, analyse, and process provider enrolment applications. Ensures provider file integrity and that suppliers follow established standards and guidelines. May perform any or all the following in the enrolment of providers determines the acceptability of provider enrolment applications (which may be used for initial full application, reenrolment, reactivation, change of information); provides in-depth review and verification/validation of provider data; verifies provider data by use of information databases and various organizations/agencies to ensure authenticity; sets up/tests EFT accounts. Processes/enters/updates provider data information/applications into appropriate enrolment database used in evaluating/tracking the processing of the application and/or updating of provider directories.
• Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone). Obtains information from internal department, providers, government and/or private agencies, etc. to resolve discrepancies/problems. Supplies enrolment applications and general information on the enrolment process to interested enrolees.
• Contributes to and participates on special projects related to provider files. Assists Technical Support staff with testing system changes related to provider files. Assists with process improvements related to Provider Enrolment. Assists with provider education and provider services training.

Experience:

• 2-4 years of job-related office experience

Skills:

• Working knowledge of word processing, spreadsheet, and database software. Effective customer service and organizational skills required. Ability to handle confidential or sensitive information with discretion.
• Microsoft Office. In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs.
• In-depth knowledge of Medicare program instructions/regulations related to provider enrolment/issues. Effective presentation skills. Work Environment: Typical office environment.

Education

• Associate Degree

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.

Recruiter Details:

Name: Prerona

Email: Prerona.m@ustechsolutionsinc.com

Internal Reference Id: 24-07979