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Provider Enrollment Specialist

Company: Modernizing Medicine
Location: Boca Raton
Posted on: January 8, 2022

Job Description:

At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars! + Inc. Magazine Best Workplaces of 2020 + Inc. 5000 Fastest-Growing Private Companies in America - 2015 - 2019 + Marketing Campaign of the Year for Telehealth - Business Intelligence Group's Public Relations & Marketing Excellence Award 2020 + Best Use of Technology in Customer Service (Gold) - Customer Sales and Service World Awards - 2019 + Customer Service Department of the Year (Gold) - Customer Sales and Service World Awards - 2018 Modernizing Medicine ( is delivering truly disruptive and transformative products and services that will impact the healthcare industry. The work we do makes a difference. Our web and mobile applications are transforming healthcare information technology to increase practice efficiency and improve patient outcomes. We offer end-to-end specialty-specific solutions from practice management, through EMR to Revenue Cycle Management (RCM) that maximize office interactions, patient visits, collections and reimbursements. Modernizing Medicine is hiring a Provider Enrollment Specialist to enroll individual physicians and physician groups with payers. The Provider Enrollment Specialist ensures the accurate set up of the clients for electronic claims submission and electronic remittance advice. The Provider Enrollment Specialist consistently follows up on the status of applications for physicians and payers, including tracking and reporting the progress on all applications. You may be a great fit for Modernizing Medicine's Provider Enrollment Specialist position IF... + You're highly detail oriented with strong organizational skills + You thrive in a fast paced, evolving environment The Role: + Coordinates the application and enrollment process for new and existing physicians and providers and ensures applications are completed timely and precisely + Maintains the timelines on enrollment/credentialing schedules, communicates with providers and other departments to update as needed, clarifies carrier information requirements, and maintains a strict level of confidentiality for all matters pertaining to provider credentials + Reviews new client packet information to determine any enrollment issues + Coordinates credentialing data needed for enrollment, and other related purposes + Works closely with Physicians to obtain missing documentation for providers pertaining to provider enrollment + Obtains required client signatures and follows up with the carriers on documentation submitted + Responds to internal and external inquiries on routine enrollment and contract matters Skills & Requirements: + Bachelor's degree preferred + Medical Billing & Coding Certificate preferred + 3+ years of related Provider Enrollment experience or equivalent combination of education and experience + Communication Skills: Excellent written, verbal and interpersonal communication skills + Must have strong organizational skills and be detail-oriented + Knowledge of medical billing, front-office, physician practice management, and healthcare business processes + Working knowledge of medical insurance carrier policies and procedures, and State and Federal rules and regulations + Working knowledge of Microsoft Office applications, especially Excel spreadsheets and have the ability to manage information located in multiple software systems Modernizing Medicine Benefit Highlights: + Health Insurance, 401(k), Vacation, Employee Assistance Program, Flexible Spending Accounts + Employee Resource Groups ( + Professional development opportunities including tuition reimbursement programs and unlimited access to LinkedIn Learning + Weekly catered breakfast and lunch, treadmill workstations, quarterly onsite massages, onsite dry cleaning, onsite car wash and many more!

Keywords: Modernizing Medicine, Boca Raton , Provider Enrollment Specialist, Other , Boca Raton, Florida

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