What are the responsibilities and job description for the Provider Enrollment Specialist - CONTRACT position at HHS Technology Group?
Who We Are
At HHS Tech Group (HTG), our work matters, and each of us makes a difference in the lives of people every day.
HTG is a leader in the development and delivery of innovative, purpose-built modular software and technology solutions to clients in the commercial and government sectors.
What We Do
HHS Tech Group creates innovative, purpose-built technology products and solutions, resulting in value and positive, quantifiable impact for our clients and the people they serve.
Our people bring our software to life through collaborative relationships with our clients, working as a team, helping to solve complex problems that create positive personal and community impact for the people our clients serve.
Each day, our software products and our people are making a difference.
Our People Matter Most
Improving the lives of others and making an impact daily is no simple task. We are dedicated to our team’s professional and personal growth and well-being. This will be a 1099 Contractor position.
Join us!
WHO WE ARE HIRING: Provider Enrollment Specialist CONTRACTOR
Who We Need
The Provider Enrollment Specialist will be responsible for Provider Enrollment activities and support; focus is on healthcare providers Medicaid enrollment activity and on processing new applications and re-validation procedures pertaining to applications and ensuring enrollment process support for providers.
What You Will Do
The Provider Enrollment Specialist will possess demonstrated ability to perform well under pressure, meet or exceed deadlines, be a team player and be willing to solve difficult problems. You must have excellent decision-making and critical-thinking skills. Your ability to evaluate and analyze complex information is second to none, and you have a natural desire to help people understand things that are hard to understand.
In addition to the responsibilities of the Provider Enrollment Specialist you will collaborate and support the team to the successful desired outcomes ensuring the team meets all Federal, State and Agency guidelines and service level agreements.
Responsibilities
At HHS Tech Group (HTG), our work matters, and each of us makes a difference in the lives of people every day.
HTG is a leader in the development and delivery of innovative, purpose-built modular software and technology solutions to clients in the commercial and government sectors.
What We Do
HHS Tech Group creates innovative, purpose-built technology products and solutions, resulting in value and positive, quantifiable impact for our clients and the people they serve.
Our people bring our software to life through collaborative relationships with our clients, working as a team, helping to solve complex problems that create positive personal and community impact for the people our clients serve.
Each day, our software products and our people are making a difference.
Our People Matter Most
Improving the lives of others and making an impact daily is no simple task. We are dedicated to our team’s professional and personal growth and well-being. This will be a 1099 Contractor position.
Join us!
WHO WE ARE HIRING: Provider Enrollment Specialist CONTRACTOR
Who We Need
The Provider Enrollment Specialist will be responsible for Provider Enrollment activities and support; focus is on healthcare providers Medicaid enrollment activity and on processing new applications and re-validation procedures pertaining to applications and ensuring enrollment process support for providers.
What You Will Do
The Provider Enrollment Specialist will possess demonstrated ability to perform well under pressure, meet or exceed deadlines, be a team player and be willing to solve difficult problems. You must have excellent decision-making and critical-thinking skills. Your ability to evaluate and analyze complex information is second to none, and you have a natural desire to help people understand things that are hard to understand.
In addition to the responsibilities of the Provider Enrollment Specialist you will collaborate and support the team to the successful desired outcomes ensuring the team meets all Federal, State and Agency guidelines and service level agreements.
Responsibilities
- Process large amounts of Medicaid provider enrollment applications.
- Assess provider’s requirements, clarify information, and provide solutions and/or alternatives.
- As the need arises, manage large volume of inbound and outbound calls related to Medicaid provider enrollment inquiries.
- Document all provider enrollment inquiries in the call center and/or provider enrollment database.
- Ensure the enrollment application process meets all compliance and process expectations.
- Perform all duties as outlined and required to meet all productivity, quality, and customer service expectations.
- Maintain availability during client business hours, regardless of time zone differences, to ensure seamless support and service delivery.
- Complete special projects and other duties as assigned.
- Meet or exceed all outlined and required expectations for role and performance.
- Two (2) years minimum experience in a customer service support role and/or data entry role surrounding medical billing or medical credentialing or healthcare insurance industry. Provider enrollment a plus.
- Prior experience handling Medicaid related calls is desired.
- Ability to work in our onsite office/remote hours in Tallahassee, FL.
- Working knowledge of HIPAA requirements.
- Two (2) years minimum experience with Medicaid provider functions.
- Two (2) years minimum experience Medicaid or Medicare guidelines.
- Experience with provider enrollment processes and requirements for CMS Federal and State Guidelines related to enrollment and reenrollment policies.
- Ability to work independently and make sound and timely decisions.
- Data Entry Experience
- Basic experience with a Microsoft Windows environment including Microsoft Excel.
- Customer Service Experience
- Strong Communication Skills
- Strong Multi-tasking Skills
- Call Center Experience Preferred
- Medical Office Experience Preferred
