[Hiring] Provider Enrollment Specialist @Eye Care Partners Career Opportunities

Role Description

Our growing eye care organization has an immediate need for an experienced Provider Enrollment Specialist who is familiar with provider data management and credentialing. A successful individual in this role will manage multiple enrollments and priorities while providing support to the Supervisor of Provider Enrollment.

• Enroll providers with payers by providing information to the payers as applicable, including Medicare, Medicaid, commercial plans, and MCOs.
• Complete required documentation and applications for credentialing, recredentialing, and privileging providers at assigned hospitals/facilities.
• Serve as the first point of contact for internal office and provider requests.
• Maintain a database for provider credentialing and update the applicable software/systems as needed to ensure all provider enrollment data is up-to-date and current.
• Keep CAQH updated with accurate and current information.
• Keep NPPES updated with accurate and current information.
• Maintain constant contact with insurance payer representatives.
• Communicate effectively any enrollment updates and issues to leadership.
• Follow up with payers on outstanding enrollments on a weekly basis.
• Maintain all demographic changes for all providers.
• Maintain all hospital appointments and re-appointments.
• Maintain and renew provider expirables (medical license, DEAs, board certification, malpractice insurance, etc.).

Qualifications

• High School Diploma or GED Required
• 2+ years of related experience or training; equivalent combination of education and experience will be considered.

Requirements

• Professional in appearance and actions.
• Logical and critical thinking skills for problem solving and analysis.
• In-depth knowledge of performance metrics.
• Customer-focused with excellent written, listening, and verbal communication skills.
• Ability to maintain control of a call, de-escalating issues and instilling confidence that a resolution will be found.
• Ability to function effectively under stress of conflicting demands on time and attention, while successfully meeting deadlines.
• Enjoys learning new technologies and systems.
• Detail oriented, professional attitude, reliable.
• Exhibits a positive attitude and is flexible in accepting work assignments and priorities.
• Meets attendance and tardiness expectations; ability to work overtime, if required.
• Management and organizational skills to support the leadership of this function.
• Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations.
• Interpersonal skills to support customer service, functional, and teammate support needs.
• Able to communicate effectively in English, both verbally and in writing.
• Ability for basic to intermediate problem solving, including mathematics.
• Intermediate computer operation.
• Proficiency with Microsoft Excel, Word, PowerPoint, and Outlook.
• Specialty knowledge of systems relating to job function.
• Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines.

Benefits

• Proficient computer skills, particularly in Microsoft.
• Good understanding of insurance payers and enrollment methods.
• Ability to diagnose and resolve basic enrollment issues.
• Excellent organizational skills.
• Desire to gain industry knowledge and training.
• Demonstrates initiative in accomplishing goals.
• Ability to grow, adapt, and accept change.
• Consistently creating a positive work environment by being team-oriented.
• Excellent verbal, written, and social skills.
• Ability to work overtime if/when needed.

Company Description

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care, and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.