Provider Enrollment Customer Service Representative
REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX
R
USD 38K-38K Entry-level Full Time
Tasks
- Act as AMS team lead for projects and statistics
- Assess provider risk level and screening
- Assist providers with enrollment applications
- Compile documents for provider disciplinary action
- Conduct provider enrollment
- Determine provider eligibility using CMS guidelines
- Identify excluded providers for Medicaid enrollment elimination
- Interpret policy and procedure changes
- Perform provider site visits
- Provide guidance through in person and telephonic interviews
- Research provider demographics in PECOS
- Train new staff through on the job coaching
Perks/Benefits
- Learning and career development opportunities
- Paid Holidays
- Paid parental leave
- Paid sick leave
- Paid vacation
- Public service loan forgiveness eligibility
- Public transit subsidy
- Remote work options
- Retirement/Pension
- Rideshare subsidy
Skills/Tech-stack
APEp | Billing Compliance | CMS | CMS guidelines | Customer Service | Database Applications | Documentation Management | Eligibility determination | Email | Interviewing Techniques | Medicaid | Medicare | PECOS | PMMIS | Policy interpretation | Provider enrollment | Risk Assessment | Spreadsheet | Word Processing
Education
N/A
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