United States Job Openings
Novitas Solutions Inc.
Provider Enrollment Rep
FULL TIME
August 29, 2024
- Medical, dental, vision, life and supplemental insurance plans effective the first day of the month following date of hire
- Short- and long-term disability benefits
- 401(k) plan with company match and immediate vesting
- Free telehealth benefits
- Free gym memberships
- Employee Incentive Plan
- Employee Assistance Program
- Rewards and Recognition Programs
- Paid Time Off and Paid Sick Leave
SUMMARY STATEMENT
This position is responsible for the integrity of the Medicare Part A and or B Provider files. This position will review applications and ensure compliance with CMS regulations and internal procedures and protocols.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
Process submitted provider applications (90%)
- Obtain additional information via telephone or in writing.
- Research and validate information as needed to complete enrollment application.
- Determine if both state and federal regulatory requirements are met.
- Review supporting documentation for adequacy; make final determination/recommendation on application.
- Create enrollment records in applicable system(s).
- Make any updates in system as necessary.
- Establish Electronic Funds Transfer (EFT) of provider Medicare payments.
- Research and respond to application specific or general provider enrollment written inquiries.
Performs other duties as the supervisor may, from time to time, deem necessary.
- High school diploma or GED
- 1 year work experience in a customer service role and/or one year work experience in a position where the applicant has used a computer and Microsoft Office.
- Proficiency with PC’s and in Windows based environments; including Microsoft Office (Word, Excel, Outlook)
- Effective written and verbal communication skills
- Demonstrated skills in reading comprehension
- Demonstrated problem solving and research skills
- Demonstrated attention to detail
- Strong organizational/time management and interpersonal skills
- Provider enrollment experience
- Experience working in a production environment while achieving quality requirements
This opportunity is open to remote work in the following approved states: AL, AK, FL, GA, ID, IN, IO, KS, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require additional approval. In FL and PA in-office and hybrid work may also be available.
The Federal Government and the Centers for Medicare & Medicaid Services (CMS) may require applicants to have lived in the United States for a minimum of three (3) years out of the last five (5) years to be employed with the Company. These years of residence do not have to be consecutive.
"We are an Equal Opportunity Employer/Protected Veteran/Disabled"
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