The Planet Group
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http://www.theplanetgroup.com
http://www.theplanetgroup.com
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Enrollment Provider (4 openings)
8 Oak Park Drive Bedford, MA 01730 US
Posted: 09/23/2024
2024-09-23
2024-11-13
Employment Type:
Contract To Hire
Job Category: Administrative
Job Number: 541761
Country: United States
Is job remote?: No
Job Description
Purpose
Perform all provider enrollment related procedures for physicians/mid-level providers to ensure groups can submit claims to insurance carriers for reimbursement.
Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Computer Skills
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Experience
One to two years related experience preferred.
Specific Job Knowledge, Skill and Ability
Perform all provider enrollment related procedures for physicians/mid-level providers to ensure groups can submit claims to insurance carriers for reimbursement.
Duties and Responsibilities
- Process provider enrollment applications for providers/groups
- Research insurance provider enrollment requirements by state
- Enter group/individual data to credentialing system
- Prepare and submit provider enrollment applications to insurance carriers
- Follow-up on provider enrollment applications with provider, insurance company or client sites
- Interact with providers via phone or email as needed
- Collaborate with Account Managers to resolve provider denials
- Update/Maintain Provider Enrollment Credentialing System
- Attends conference calls with clients as requested
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required.
Computer Skills
Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Experience
One to two years related experience preferred.
Specific Job Knowledge, Skill and Ability
- Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
- Ability to compute rates, ratios and percentages
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
- Ability to write routine reports and correspondence
- Ability to communicate effectively verbally and in writing
- Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
- Ability to deal with problems involving several concrete variables in standardized situations
- Specific vision abilities required by this job include close vision
- Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
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Explore exciting job opportunities in and around Bedford, Massachusetts! Located in Middlesex County, just a short drive from Boston, this charming town offers a perfect blend of suburban tranquility and urban convenience. With close proximity to historic sites like the Bedford Flag and the Minute Man National Historical Park, as well as a thriving arts scene showcased at the Higgins Art Gallery, job seekers can enjoy a rich cultural experience while advancing their careers. Indulge in delicious New England cuisine, catch a show at the nearby Merrimack Repertory Theatre, or cheer on the beloved Boston Red Sox at Fenway Park. Embrace the picturesque beauty of nature at nearby Bedford Center Park or take a stroll by the Concord River. Don't miss the chance to grow both personally and professionally in this vibrant and dynamic region!