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SalaryCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.
Role Summary:
Provider Enrollment Specialist is a vital team member with Centauri’s Out of State Medicaid billing agency that works with facilities across the US to process their Out of State Medicaid claims with a focus on hospital billing, hospital and physician enrollment, and eligibility verifications. All team members are assigned tasks and are responsible for ensuring tasks are completed by the assigned follow up date.
Role Responsibilities:
- Manage all incoming requests from staff for Web Portal access with any Out of State Medicaid agency
- Investigate Web Portal Registration; this includes the type of access available and the set up process
- Complete Web Portal Registration requests; preparing documents and/or online requests
- Maintain instructions/notes for assigned Out of State Medicaid payers as it relates to Web Portal Registration
- Reset previously set up accounts
- Internal and external point of contact for any Web Portal related questions/assistance; team members, clients, and payers
- Review various forms of correspondence from clients and payers
- Open communication and collaboration with the enrollment team
- One year of administrative or customer service experience
- Experience in medical billing and/or enrollment is suggested but not required
- Utilize internal user procedures to prepare requests based on client and payer specific instructions
- Knowledge of Out of State Medicaid payer guidelines
- Technically savvy; navigating through different websites with little to no direction needed
- Strong written and oral communication skills
- 1 year + including Microsoft Office knowledge, drafting letters/formal email requests, preparing documents, and phone customer service
- Ability to juggle multiple priorities and navigate multiple platforms
- Ability to learn quickly, prioritize and manage time
- Can work effectively as part of a team as well as independently
Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.
Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
This position is bonus eligible in accordance with the terms of the Company’s plan.
