Provider Enrollment Representative

Job Responsibilities:

• Responsible for accurate set up of provider records in order to assure proper payment for providers.
• Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.
• Qualifications:
• Education: Bachelors degree or an equivalent combination of education, training and experience is required.
• Experience:
• 2 or more years business experience in a managed care or healthcare setting is required.
• Competencies, Skills, and Attributes:    
• Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational and problem solving skills.
• Ability to accurately enter, proof, submit data and to identify inaccurate data and process to resolution.
• Demonstrated competence using Microsoft Office products especially Word, Excel, Outlook, Access, PowerPoint.
• Experience or knowledge of ONYX,
• FACETS and/or similar provider data and/or claims processing system.