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Healthcare Provider Enrollment Specialist

Manpower US

Healthcare Provider Enrollment Specialist

Durham, NC
Full Time
Paid
  • Responsibilities

    Job Description

    JOB DESCRIPTION:

    • Accurately complete provider enrollment, terminations, demo changes, and contracts in provider systems of record to ensure appropriate claims payment. • Compile, analyze, and verify the required information for provider enrollment, contracts, and maintenance for completeness and accuracy, and enter it into the systems of record. • Communicate, orally and in writing, directly with providers to resolve questions and issues regarding updates and changes in the systems of record. • Research, respond to, analyze, and resolve complex claims issues related to provider setup and provider eligibility on a daily basis. • Create resolution documents to address provider issues and increase provider satisfaction. Utilize probing and problem-solving methods to resolve all inquiries/requests. Identify, understand, and anticipate providers’ unexpressed needs and concerns. • Manage timely responses to external provider inquiries and requests. Evaluate new service requests from providers to determine appropriate actions for recording into the systems of record.

     

    HIRING REQUIREMENTS:

    • Strong analytical skills

    • Strong Call Center background

    • Healthcare background

    • Able to work in the office 100% with no attendance issues (post-COVID)

    *High Volume Call center, high energy,

    *Work with authorization with providers for clinical staff.

     

    HOURS

    Monday - Friday 8 am - 5 pm

     

    If you have not created a Manpower Profile please do so by going to www.manpower.com to create your profile prior to us contacting you! We look forward to working with you!

    Company Description

    Manpower is dedicated to enriching people's lives with meaningful employment and development opportunities, as we have done for more than 70 years. With our global presence and local expertise, and by leveraging the expertise of our parent company, Manpower Group, we influence how people and companies work now and how they will work in the future.