Provider Enrollment Customer Service Representative

Tasks

• Assist providers with application packets
• Compile documents for disciplinary actions
• Conduct provider enrollment
• Determine provider eligibility using CMS guidelines
• Interpret policy and procedure changes
• Participate in training and continuous learning
• Perform provider site visits
• Research provider demographics in PECOS
• Review compliance with Medicare debt and billing practices
• Screen providers for excluded providers
• Train new staff through on the job training

Perks/Benefits

• Learning and career development
• Paid Holidays
• Paid parental leave
• Paid sick leave
• Paid vacation
• Public service loan forgiveness eligibility
• Public transit subsidy
• Remote work
• Retirement/Pension
• Rideshare subsidy

Skills/Tech-stack

APEp | CMS Medicaid Requirements | Customer Service | Database Applications | Eligibility determination | Email | Interviewing Techniques | Medicaid Enrollment | Medicare Billing | PECOS | Problem Solving | Provider enrollment | Research methods | Spreadsheet applications | Troubleshooting | Word Processing