Provider Enrollment Specialist

Company: MiraMed
Location: Jackson
Posted on: January 12, 2022

Job Description:

This position is required to review applications from providers (physicians and nurses) and make the necessary corrections before sending the application to insurance carriers or a specific group for Provider and /or Authorized Representative for signatures. This position will also QC all new client applications prior to the applications being mailed or emailed to the group for signatures which will also require tracking notes of the application to/from Group/Provider and to Insurance into the Symed database.
Job Duties:

• 
  
• Prepare cover letters to send either to the provider & or insurance carriers as appropriate.
  
• Prepare applications and sending to the provider & or insurance carriers as requested. Basic understanding of insurance carrier enrollments is necessary.
  
• Requesting the required credentials from the providers & or account managers for any missing information.
  
• Contact insurance carriers to verify the correct version of the application, credentials required, length of enrollment processing time, verify any prior enrollment with the carrier.
  
• Status any enrollments either Group or Individual once the application have been sent to the carrier.
  
• Tracking is required for any and all applications/credentials and correspondence in SYMED on any actions taken for Individual or Group Enrollment.
  
  Qualifications:
  
  • 
    
  • Must type 40 WPM
    
  • Must be familiar with SharePoint, Excel, Word, Outlook, Adobe, Symed Database
    
  • Familiarity with basic office equipment: printer, phone, fax, copier, etc
    
  • Phone etiquette
    
  • Must be detailed oriented and well organized
    
  • Must be familiar with all insurance carrier requirements for enrollment
    
  • Must be familiar with required credentials needed for enrollment
    

Keywords: MiraMed, Ann Arbor , Provider Enrollment Specialist, Other , Jackson, Michigan