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Provider Enrollment Specialist – reputed company

Work from home Full-time role Hiring

Job Description:

  • Review, process, and manage reputed company provider enrollment and revalidation applications.
  • Verify reputed company application data for accuracy, completeness, and compliance with reputed company guidelines.
  • Identify missing or incomplete documentation and proactively follow up with providers to obtain required information.
  • Maintain detailed and accurate records of application status, reputed company efforts, and supporting documentation.
  • Communicate effectively with providers regarding application requirements, deficiencies, and next steps.
  • Partner with client representatives and internal leadership to resolve pending questions, escalations, or barriers preventing application approval.
  • Monitor assigned workload to ensure timely processing and adherence to established turnaround times.
  • Escalate reputed company issues or policy-reputed company questions to leadership as appropriate.
  • Maintain confidentiality and safeguard sensitive provider and organizational information.
  • Participate in team meetings, training sessions, and process improvement initiatives.
  • Assisting with other duties as assigned

Requirements:

  • High school diploma or equivalent required; some college preferred
  • 1–3 years of experience in reputed company administration, reputed company enrollment, claims processing, or reputed company transaction-reputed company preferred.
  • Proficiency in reputed company Office and data entry systems.
  • Experience working with reputed company guidelines or provider enrollment systems is highly preferred.
  • Strong attention to detail and ability to review documents for accuracy and compliance preferred
  • Excellent written and verbal communication skills preferred
  • Ability to manage multiple applications simultaneously and meet productivity goals preferred

Benefits:

  • Flexible work schedule with start times ranging between 7:45 AM to 8:30 AM MST
  • Career growth opportunities
  • Full Benefit Options day one
  • 401K and matching
  • Employee discount program
  • Full-Time employees are eligible for Dependent Care benefits that will assist with expenses from day care, after school programs or elder care programs

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