Medicare Enrollment Specialist

Job Id
158556
Job Location
Addison, TX
Employment Type
Full Time Regular
Industry
Health Care
Concentra
20210503T143425Z
Overview

From our Dallas corporate headquarters to our clinics and worksite locations, Concentra colleagues remain focused on our driving purpose:  to provide superb patient and employer experience by delivering the highest quality healthcare in an efficient, affordable, caring manner. We do this by putting all customers (internal and external) first and by displaying:

  • A healing focus
  • A selfless heart
  • A tireless resolve
Responsibilities

The Medicare Enrollment Specialist performs Medicare, Medicaid, and other enrollment functions to ensure providers are properly enrolled and are in compliance with enrollment requirements. The specialist manages and oversees policies and procedures to support Medicare/Medicaid enrollment process.  Involved with varying administrative duties and will support the quality mission of Concentra in accordance with its policies, practices, procedures, and applicable regulations to achieve its clinical and business objectives.

The Details

  • Prepare Medicare Part B for clinicians, facility and Retired Railroad enrollment applications, Medicaid, and other enrollment functions
  • Obtain required documentation and signatures to complete enrollment applications
  • Process NPI requests and revisions for all clinicians and facility NPIs as requested
  • Work with other internal departments in their day-to-day operating processes and reporting requirements
  • Responsible for implementation and communication regarding Medicare/Medicaid provider enrollment standards and approvals
  • Assist Billing department with resolving billing issues resulting from provider enrollment activities.
  • Obtain and upload Medicare approval letters to internal database
  • Develop and maintain a working relationship with external Medicare/Medicaid agencies and corporate/field colleagues and leadership
  • This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Scope measures

  • Direct reports:  No
  • Indirect reports:  No
  • Budget responsibility:  Not applicable
Qualifications

Education/credentials

  • High School Diploma

Job-related experience

  • Customarily has at least one year of related experience, or equivalent combination of education and experience
  • Must be familiar with PECOS and NPPES online enrollment process
  • Project management experience is a plus

Job-related skills/competencies

  • Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility
  • Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions
  • Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism
  • The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies
  • Computer skills to include Word, Excel, Power Point, some Access, Outlook and ability to utilize proprietary Concentra software programs
  • Strong interpersonal and communication skills, both written and oral, with varying levels of colleagues and/or management
  • Ability to manage open projects to the end with successful follow up
  • Attention to detail and strong organization skills
  • Ability to work independently within guidelines and company policies
  • Ability to effectively present information and respond to questions from managers, clients, and customers
  • Ability to interpret and execute a variety of instructions furnished in written, oral, diagram, or schedule form
  • Strong problem-solving skills
Benefits
  • 401(k) with Employer Match
  • Medical/Vision/Prescription/Dental Plans
  • Life Insurance/Disability
  • Paid Time Off/Holidays
  • Colleague Referral Bonus Program   

This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

 

Concentra is an Equal Opportunity Employer, including disability/veterans 


We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, sexual orientation, gender identity, disability or medical or veteran status in accordance with federal law. In addition, Concentra Inc. complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities.

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