Provider Enrollment Specialist
The Provider Enrollment Specialist will provide direct enrollment support to clinical providers to achieve desired enrollment effective dates with the Medicare Administrative Contractor (MAC), State offices for Medicaid or to achieve licensure with the desired or requested State Licensing Board. Responsibility of the Provider Enrollment Specialist will include ensuring that Matrix Medical Network is in 100% compliance with all Medicare and Medicaid enrollment and participation regulations and guidelines. The Enrollment Specialist will also maintain Medicare and/or Medicaid enrollments throughout the provider’s tenure with Matrix Medical Network.
The Provider Enrollment Specialist at Matrix Medical Network will provide assurances to the organization and client health plans that providers are appropriately and adequately licensed and/or enrolled in Medicare and Medicaid.
The position interacts with leadership at all levels within the organization and works closely with Credentialing team members and leadership along with Production, Planning & Control and Clinical Recruitment as needed for projects.
Required Skills and Abilities
Supervisory Responsibility: There will not be supervisory responsibility with this role.
Travel Requirements: <25%
Work Conditions: General office environment.