EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations. The Provider Enrollment Specialist, Medicaid, is responsible for oversight and maintenance of the professional and facility enrollment process, including submission of online and paper applications, handling patient health information, and maintaining extreme privacy and security.
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.
- Submits 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.