Employer: Forefront Telecare
Description
Forefront Telecare Inc. provides better behavioral health for all seniors. We offer virtual behavioral health and we follow the patient from wherever they may need our services.
We seek a Provider Enrollment Specialist – Temp to Perm to join our team. This position is fully remote
The Provider Enrollment Specialist is responsible for the completion of all enrollment applications (including Medicare and Medicaid) for Providers including, but not limited to revalidation, reassignment of benefits, and renewal of appointment. The Provider Enrollment Specialist ensures all providers’ information is complete and accurate and all enrollment information is maintained and current within Forefront’s various databases.
Requirements
Our Provider Enrollment Specialist’s responsibilities include:
- Complete the enrollment application or group enrollment applications of employed tele-medicine provider across all states
- Assist with the on-boarding process (internally/externally) to include: Obtaining enrollment within established timelines.
- Ensure physician Medicare and Medicaid numbers along with managed care appointments are enrolled or renewed timely in support of the state guidelines for compliance
- Ensure departmental guidelines support all contracted hospital privileges and procedures
- Identify and analyze the physician information received to ensure accuracy
- Maintain working knowledge of workflow, systems and tools used in the department; makes recommendations for process improvements
- Assist in the process to credential entities and individual providers to meet payer criteria
- Maintain filing information for all enrollment, credentialing, re-credentialing schedules and contracting process by loading all information to the credentialing software and spreadsheet to have most accurate data
- Monitor and track the enrollment, credentialing and contracting process in order to promote compliance, process enhancement, and efficiency
- EFT Enrollment
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required Provider Enrollment documents for all providers
- Makes leadership aware of any potential derogatory issues identified during the Provider Enrollment process and works in collaboration with practitioner to document/resolve the issue
- Other duties as necessary to support the success of the Provider Enrollment Team
- The successful candidate must have secure high speed internet
We anticipate this role becoming permanent after 3 months. At that time full benefits and 401K will be provided.
Skills
- Attention to detail
- Sense of urgency
- Excel and other MS Office application proficiency
- Time management