Provider Enrollment Specialist/Clerk
Description:
Astyra is seeking a Provider Enrollment Agent who will be responsible for supporting provider enrollment/screening into the Virginia Medicaid program. Their primary responsibilities include:
- Reviewing and processing Medicaid, provider enrollment applications according to Virginia Medicaid program approved enrollment guidelines, ACA, and other federal requirements and procedures.
- Update and maintain accurate provider files which includes documenting information such as license, addresses, billing, and other provider demographic changes to the provider file.
- Respond to written correspondence and incoming telephone inquiries received from providers relating to enrollment issues as needed.
- Ensure all departmental and Virginia Medicaid program quality and quantity standards are met.
- Upholds customer confidence and protects operations by keeping information confidential.
The role will require knowledge of Windows based programs and a familiarity with basic call center and office equipment.
Position will allow for cross-training on the clerk and agent positions.
Knowledge and Skill Requirements:
- 2+ Years’ experience in Call Center/Healthcare environment
- Proven customer service experience and professionalism in the workplace
- Ability to perform extensive research independently
- Ability to follow written policies, procedures, and guidelines, and give feedback to leadership.
- Intermediate-level knowledge of operating systems.
- Experience with MS Office Suites
- Must have good decision making skills
- Self-motivated with good time management and organizational skills.
- Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.
- Excellent written and verbal communication skills
- HS Diploma or GED Required
- Hybrid position with opportunity to WFH 50% of the week; office is located in downtown Richmond
Competitive benefits such as *Parking covered; Paid time off; Health, vision, and dental insurance options*
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