Healthcare CSR | Provider Enrollment

4 weeks ago

Taguig, Philippines Top Source Executive Search Full time

We are seeking a diligent and detail-oriented Provider Enrollment and Credentialing Specialist to join our team. The ideal candidate will be responsible for the timely and accurate completion of enrollment tasks, demonstrating a strong commitment to quality, efficiency, and meeting key performance goals within a fast‑paced environment. Work Setup: Full time Night shift On site in BGC Core Responsibilities: Task Execution & Quality Assurance: Guarantee the accurate and high‑quality execution of Payor Enrollment tasks and application procedures. Focus on Medicaid/Medicare and Commercial (Medical or Behavioral Health) enrollments. Submit enrollment applications for groups and/or providers to ensure adherence to client deadlines. Performance & Productivity: Consistently meet daily and weekly objectives, ensuring timely task completion while effectively managing an increasing workload. Accountable for hitting core performance metrics related to speed, quality, and efficiency of file processing. Ensure all managed files meet client Service Level Agreements (SLAs) and exceed quality standards. Collaboration & Support: Consistently identify and suggest opportunities to enhance operational efficiency. Essential Skills: Detail‑Oriented: A passion for accuracy and driving metric improvement through detailed process analysis. Proactive Approach: A hands‑on mentality is crucial, requiring both tactical execution for short‑term goals and strategic thinking for long‑term improvements. Collaborative Spirit: You thrive in a team environment and excel at working with others to achieve shared objectives. Growth Mindset: Eager to learn and grow within the role, taking on new challenges and responsibilities successfully. Qualifications: At least Senior High School Graduate or High School Graduate (old curriculum) Excellent Verbal & Written Skill Communication Skills At least 1 year of wide experience with commercial payers (e.g. Cigna, Aetna, United, BCBS, etc.), Medicaid with various states, varying provider types, and any management experience. Also known as: Provider Enrollment Specialist, Provider Credentialing Specialist, Payor Enrollment Specialist, Medical Licensing Specialist, Provider Licensing Specialist #J-18808-Ljbffr

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