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Provider Enrollment Specialist - Philadelphia, United States - Global Force
Description
Provider Enrollment Specialist
Location :
Philadelphia PA 19113
Contract: 3 months with possibility of extension
Under the direct supervision of the Provider Enrollment Supervisor, the Provider Enrollment Specialist is responsible for maintaining both participating and non-participating provider records in the provider database, mapping claims in the invalid provider queue, resolving provider related issues for claims suspended to Provider Enrollment.
Executes the panel transfer process. Completes projects as assigned by Supervisor. Interacts with internal/external clients on provider maintenance activities.Skills:
Knowledge of different types of providers, claims process exp preferred.
Customer service exp required.
Software systems including Windows 2000, MS Office, IMAX (external Claims editing),
Facets preferred.
Knowledge of Word, Excel, and ACCESS is a plus.
1-3 Years of Healthcare Experience
Minimum 4 years exp in claims and/or call center
Education:
Associates Degree