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Enrollment Specialist

Company: Koan Risk Solutions
Location: Honolulu
Posted on: November 22, 2021

Job Description:

The Provider Enrollment Specialist facilitates the application from new and existing Hawaii Medicaid Providers through all stages in order to enroll the provider with commercial and/or government payers as well as facilities. The Specialist is also responsible for updating practitioner information in both the internal software and with Hawaii Medicaid. In addition to data entry, the specialist also maintains copies of licensure, certificates, and other documents necessary for the enrollment process, maintains provider profiles, and conducts verification of all data, ensuring accuracy and timely entry of information. The specialist shares essential updates with providers and the internal team as necessary in weekly summary reports.Working Hours: Monday through Friday 7:45 a.m. to 4:30 p.m. (H.S.T.)This position is only working remotely during the COVID-19 pandemic requiring a strong and reliable internet connection and familiarity with digital platforms to accomplish assigned tasks. Options for working remotely will be offered post pandemic.Conducts the enrollment process - screening medical provider applications; validating provider information; researching,50% gathering, requesting, and inputting data in Koan and State ofHawaii platforms.Adheres to deadlines and enrollment schedules by tracking files15% through all stages or enrollment and revalidation process.Communicates with providers, payers, and other involved parties15% via email, phone, and mail.Contact center support to Providers- answering telephone calls; to respond to questions, comments and inquiries regarding the10% provider application form, an online provider portal, and provider enrollment and revalidationHelps the department move to paperless by centralizing all5% provider data gathered in softwareMaintains confidentiality and responsibility for all enrollment files5% through the processTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.High School Diploma General Education Development (GED) equivalent RequiredUniversity/College Is an asset but not mandatory Not RequiredPrevious customer service experience, especially in the Healthcare industry, preferred.Prior remote work experience is a plus.SkillsListeningPeople SkillsHighly CollaborativeInformingCustomer focusCustomer serviceMultitaskingDetail-oriented and able to concentrate for long periods of time.Comfortable with computers and swift when typing on the keyboard.Understanding of computer hardware and operationMust be able to work independentlyCommunication, ability to work with coworkersBasic knowledge of Microsoft Office - Word, Excel, OutlookAnalytical Thinking -Helps diagnoses issues using a systematic and methodical approach.Collaboration -Understands mutually beneficial partnerships with other functions.Company Knowledge -Understands how his/her team contributes to the department to meet the goals defined.Leadership Skills -Does not manage a department.Communication -Requires basic knowledge of customer service and oral communication skills.Works is accomplished with moderate supervision. Follows established and detailed directions. Work is reviewed for accuracy and overall adequacy.Job Type: Full-timePay: $17.00 per hourBenefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insuranceSchedule:
    • Monday to FridayCOVID-19 considerations:Koan's Provider Enrollment and Revalidation Specialists work from home.Education:
      • High school or equivalent (Preferred)Experience:
        • Microsoft Office: 1 year (Preferred)
        • Microsoft Word: 1 year (Preferred)Work Location: One location

Keywords: Koan Risk Solutions, Honolulu , Enrollment Specialist, Other , Honolulu, Hawaii

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