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Provider Enrollment Specialist Position

LHH Recruitment Solutions is searching for a full-time Provider Enrollment Specialist on a Direct Hire basis for a client in Phoenix, AZ. Our client is seeking a Provider Enrollment Specialist to ensure that healthcare providers are properly enrolled with insurance companies and government agencies to receive payment for the services they provide.

• High School Diploma or equivalent, required

• 5+ years of Provider Enrollment experience, required

• MS Office Suite Proficiency

• Displays high degree of written and verbal communication skills, analytical, and ability to work independently with strong interpersonal skills

Responsibilities:

• Develop, coordinate, implement, and manage provider enrollment processes with governmental and commercial payers.

• Ensure accurate submission of claims through attention to detail in obtaining appropriate signatures and verifying application accuracy.

• Build strong communication and relationships with payers for initial enrollment and regulatory changes.

• Acquire in-depth knowledge of payer policies, regulations, requirements, and forms across multiple states.

• Navigate payer systems, utilize online tools, and troubleshoot issues for government payers.

• Provide technical support to facilitate revenue flow compliantly.

• Independently prioritize and process a high volume of work.

• Identify and develop workflow processes to meet changing regulatory requirements.

• Request and organize supporting documentation from various departments for provider enrollment applications.

• Maintain a database of all EMS licenses for base locations.

• Ensure consistency with submitted documentation.

• Identify, develop, and conduct audits for Provider Enrollment and Patient Financial Services.

• Communicate changes in Medicare/Medicaid/Tricare/HIS and other federal payer enrollment requirements to management.

• Train on the complexities of payer and regulatory requirements.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance