Medicare Provider Enrollment Specialist I - 41151 - (US-PA-Harrisburg - 17177)

Minimum Education: Tech School
Job Type: Full Time
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An independent subsidiary of WellPoint, Inc, National Government Services (NGS)
is a national leader in Medicare. NGS combines five great companies - AdminaStar Federal, Anthem Health Plans of New Hampshire, Associated Health Service, Empire Medical Services and United Government Services.

Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.


Our Provider Enrollment Specialist I
is responsible for the accurate and timely adjudication of provider enrollment applications into Medicare databases.

Essential duties to include, but are not limited to:
* Assists in the analysis of data among multiple claims systems and the application of business rules as they apply.
* Validates the data to be housed on the Medicare provider databases while ensuring adherence to business and s system requirements of customers as it pertains to Medicare contracting and credentialing. Other job duties as assigned.

Skills:
Our Provider Enrollment Specialist I will have a H.S. diploma or an equivalent combination of education and experience required. 1-3 years experience in claims processing, provider, or credentialing preferred. Good written and oral communication skills and, analytical skills required. Keyboard proficiency and proficiency with basic PC office software required. WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2008 DiversityInc magazine Top 50 Company for Diversity

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