Sr. Enrollment Specialist

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing applications. Maintains physician database and acts as a resource to providers, practice staff, BIDCO staff and health plan provider representatives concerning health care plan participation and status. Demonstrates competency in all aspects of the enrollment process and their assigned provider participation with over 25 affiliated health plans/ products, including Medicare and Medicaid. Job Description: Primary Responsibilities: Facilitates timely enrollment of new providers in health plans and existing providers in newly contracted health care plans including compilation of confidential data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). (essential) Compiles accurate health plan application packets for the many different Members of BIDCO, keeping abreast of the numerous changes in application and licensure documentation. Reviews returned applications for accuracy and completeness...