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    Provider Enrollment Specialist - San Diego, United States - San Ysidro Health Center

    San Ysidro Health Center
    San Ysidro Health Center San Diego, United States

    3 weeks ago

    Default job background
    Full time
    Description
    Position Summary:

    Completes all required provider enrollment forms for San Ysidro Health providers and locations with payers such as Medicare and Medi-Cal programs and all commercial carriers. Revalidates all records required by payers. Completes all enrollment forms necessary for 835 and 837 files as needed.

    Essential Functions of the Job:
    • Completes and maintains current status on all provider enrollment packages required by government agencies for participation and billing in Medicare, Medi-Cal and Commercial insurance plans
    • Completes all location enrollments as required including revalidation of government programs on their websites
    • Keeps acquainted with all of the regulations and standards to ensure compliance with orders or directives issued by duly constituted government/regulatory agencies as they relate to provider enrollment requirements
    • Prepares and updates reports on the status of provider enrollment packages and other reports as requested by management
    • Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and webinars
    • Attends meetings as required and will participate in committees as directed
    • Assists the credentialing team as needed with special projects
    Additional Duties and Responsibilities:
    • Performs other duties as assigned.
    Job Requirements

    Experience Required:
    • At least 1 year of experience in provider enrollment or credentialing experience required
    • Must have medical background and be familiar with managed care and government payers
    Education Required:
    • High school diploma or GED equivalent required
    Verbal and Written Skills Required to Perform the Job:
    • Excellent verbal and written communication skills
    • Ability to communicate effectively both verbally and in writing in English
    Technical Knowledge and Skills Required to Perform the Job:
    • Must be tech and software savvy; demonstrates ability to complete applications completely online and paperless
    • Must be able to work independently
    • Experience and knowledge with Microsoft Office software
    • Math ability to calculate and accurately analyze various accounts
    Equipment Used:
    • General office equipment to include PC and Software (Excel, Word, Office), phone, fax, etc.
    Working Conditions and Physical Requirements:
    • This position is temporary, full-time position (initial assignment anticipated to end August 2024; potential for extension)
    • General Office Environment; Prolonged periods of sitting, and constant walking and standing
    Universal Requirements:

    Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs. Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

    About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.

    Other details
    • Pay Type Hourly
    • Min Hiring Rate $24.07
    • Max Hiring Rate $31.85
    Apply Now
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