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Title

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Provider Enrollment Specialist

Description

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We are looking for a detail-oriented Provider Enrollment Specialist to manage healthcare provider enrollment and data management. The ideal candidate will have experience in healthcare administration, with a focus on provider enrollment, credentialing, and data management. They will be responsible for managing all aspects of provider enrollment, including initial enrollment, re-enrollment, and maintenance of provider data. They will also be responsible for ensuring compliance with all regulatory requirements and maintaining up-to-date knowledge of enrollment procedures and policies. The Provider Enrollment Specialist will work closely with other members of the healthcare team to ensure accurate and timely provider enrollment and data management.

Responsibilities

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  • Manage all aspects of provider enrollment
  • Ensure compliance with all regulatory requirements
  • Maintain up-to-date knowledge of enrollment procedures and policies
  • Work closely with other members of the healthcare team
  • Ensure accurate and timely provider enrollment and data management
  • Manage initial enrollment, re-enrollment, and maintenance of provider data
  • Communicate with providers and insurance companies as necessary
  • Maintain accurate and up-to-date provider databases
  • Assist with audits and reviews of provider data
  • Resolve any issues or discrepancies with provider data

Requirements

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  • Bachelor's degree in healthcare administration or related field
  • Experience in healthcare administration, with a focus on provider enrollment
  • Knowledge of healthcare regulations and policies
  • Strong attention to detail
  • Excellent communication skills
  • Ability to work well in a team
  • Strong problem-solving skills
  • Experience with data management
  • Ability to manage multiple tasks and deadlines
  • Proficiency in Microsoft Office Suite

Potential interview questions

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  • What experience do you have with provider enrollment?
  • How do you ensure accuracy in your work?
  • Can you describe a time when you had to resolve a discrepancy with provider data?
  • How do you manage multiple tasks and deadlines?
  • What strategies do you use to stay up-to-date with healthcare regulations and policies?