IDR is seeking a Financial Administrative Representative to join one of our top clients in the healthcare industry REMOTELY in San Mateo, California. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today!
*NOT OPEN TO C2C*
Position Overview for the Financial Administrative Representative:
Application Processing: Manage the submission of initial applications and re-applications for healthcare providers seeking enrollment with various insurance networks, ensuring compliance with submission deadlines and protocols.
Credential Verification: Conduct thorough verification of healthcare provider credentials, including educational background, professional training, and licensure, to guarantee adherence to insurance network standards and regulatory requirements.
Documentation Liaison: Act as a point of contact for healthcare providers, facilitating the collection and submission of necessary documentation and information for the enrollment and re-enrollment processes, while maintaining clear and timely communication.
Data Management: Regularly review and update provider information in the enrollment database, ensuring that all data is accurate and current to support billing, credentialing, and compliance processes within the organization.
Experience: Minimum of 3 years in a hospital or clinic environment, with demonstrated knowledge of Medicare and Medi-Cal regulatory frameworks, including understanding eligibility, benefits, and enrollment processes.
Technical Skills: Proficiency in using healthcare enrollment databases and management systems, alongside strong computer skills, including familiarity with Microsoft Office Suite and electronic health records (EHR) systems.
Communication Abilities: Excellent verbal and written communication skills, capable of effectively liaising with healthcare providers, insurance networks, and internal teams to facilitate enrollment processes and resolve issues.
Attention to Detail: Strong organizational skills and meticulous attention to detail to ensure the accuracy of provider credentials and enrollment data, as well as compliance with regulatory requirements.
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