Job Listing
|
|
| Job ID: 13963370 |
|
| |
| Job Location: |
|
| |
|
|
| |
| How to Apply: | To see employer contact information, log in or register. |
| |
| Job Title: | Provider Enrollment Specialist |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
| |
| Salary Offered: | Unspecified |
| Benefits: | Unspecified. |
| |
| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | High School Diploma/GED |
| |
| Experience Required: | Unspecified |
| |
| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
|
| |
| |
| |
|
| Job Description: |
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.
Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Overview: The Provider Enrollment Specialist is responsible for the Medicaid enrollment and credentialing verification process for providers in participating health insurance plans.
Duties and Responsibilities:
Collect and maintain providers' credentials and supporting documentation for the purpose of enrolling individual providers with payers multistate.
Monitor and follow up on the status of applications for providers and track progression on all pending and completed applications.
Participate in the physician onboarding process supporting credentialing and Medicaid enrollment application process.
Research and resolve provider related enrollment issues and coordinate with colleagues when necessary.
Maintain provider files for revalidation of Medicaid enrollments. Ensure the timeliness of provider enrollments.
Maintain accurate and complete information in the State Medicaid Portals and the Provider Enrollment Databases.
Ability to understand, analyze and interpret complex documents
Maintain compliance with Inovalon's policies, procedures and mission statement.
Always adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and with respect to any aspect of the data handled or services rendered in the undertaking of the position.
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company.
Proficiency in Microsoft Word, Outlook and Excel
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.
Job Requirements:
Minimum of two years of relevant payer enrolling/credentialing experience OR two years of physician billing experience required.
CAQH knowledge
Must be highly organized, results oriented and thrive on problem solving and working independently.
Solid critical thinking and analytical skills.
End-user computer skills with Microsoft Office package.
Excellent multi-tasking skills.
Excellent communication skills and be able to interact with professional and administrative personnel.
Ability to work in a fast-paced environment with time constraints while maintaining a professional demeanor; and
Must be able to remain calm and use diplomacy when dealing with stressful situations.
Education:
High School Diploma or GED is required; and
Associate degree preferred.
Physical Demands and Work Environment:
Sedentary work (i.e., sitting for long periods of time)
Exerting up to 10 pounds of force occasionally and/or negligible amount of force.
Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions.
Subject to inside environmental conditions; and
Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every one of the qualifications listed in a job description. If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply regardless. Inovalon is most interested in finding the best candidate for the job and you may be just the right person for this or other roles.
By embracing diversity, equity and inclusion we enhance our work environment and drive business success. Inovalon strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.
Inovalon is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.
The Company maintains a drug free work environment for all of its associates, which includes employees, contractors and vendors. It is unlawful for associates to manufacture, sell, distribute, dispense, possess or use any controlled substance or marijuana in the workplace and doing so will result in disciplinary action, up to and including termination of employment or the contracted relationship.
To review the legal requirements, including all labor law posters, please visit this
Inovalon provides equal employment opportunities (EEO) to all employees and applicants for employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Refer to ID 78512354 when applying |
|