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Provider Enrollment Specialist - Spanish Bilingual
Ref No.: 18-35677
Location: Austin, Texas
Start Date: 06/20/2018
Job Title         : Provider Enrollment Specialist - Spanish Bilingual
Job ID             :
 18-35677
Location         : Austin, TX 78727
Duration         : 6-12 Months (Contract)
Job Description:
 
BILINGUAL MUST BE ABLE TO WORK ANY 8 HOUR SHIFT BETWEEN 7AM-7PM
 
·         Experience in processing Enrolment applications in Healthcare Insurance market, Workers Comp market, or Medicaid market. 
·         Interact professionally with providers and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrolment and file maintenance for Medicaid programs (including dental, vision, ambulance, physicians, nurses and all other provider types)
·         Process to completion 100% of assigned applications utilizing documented work instructions daily and meet minimum daily quotas. 
·         Data entry (of paper applications) with validation of provider submitted enrolment information to insure the enrolment application meets the minimum standards. 
·         Send out deficiency letters to notify providers of incomplete/inaccurate applications.
·         Revise existing deficiencies based on QA audits. 
·         Respond to inquiries regarding status of applications received.  Research and contact providers to resolve enrolment application deficiencies.
·         Send out provider applications, forms and other provider correspondence as requested. 
·         Adhere to Quality Assurance program in order to improve daily processing of applications and file maintenance transactions with a minimum quality score of 98%. 
·         Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements. 
·         Respond to Tier III escalations and/or file maintenance requests as assigned within the specified due dates.
·         Flexibility to work overtime as dictated by daily production inventory requirements.  Perform other duties as assigned by leadership.
 
Basic qualifications: 
·         1 year customer service experience or 1 year of military service from any branch. 
·         1 year experience using Microsoft Office suite.  Prefer good communication skills (verbal/written). 
·         High school degree or GED required.