Provider Enrollment Specialist

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCMTM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide.

Requirements

• Collect, verify, and submit information necessary for the enrollment of hospitals/physicians with Out-of-State Medicaid payers.
• Develop and maintain ongoing policy and procedures specific to each state for new hospital/physician enrollments.
• Maintain working knowledge of hospital/physician Out-of-State Medicaid enrollment requirements and regulations.
• Submit re-enrollment applications in a timely manner to ensure hospitals/physicians are up to date with their enrollment status.
• Establish, maintain, and constantly review the accuracy of Out-of-State Medicaid requirements to ensure compliance with government rules and regulations.
• Manage work queue to ensure all timely submissions/deadlines of all payor-specific forms and documents to the various health plans including license updates, deficiency notifications, approval letters, etc.
• All maintenance of the provider file and communication of provider changes, corrections, and terminations documented in the database.

Benefits

• Equal Opportunity Employer M/F/D/V
• Paid time off
• 401k Matching
• Retirement Plan
• Flexible work arrangements