Accenture Provider Enrollment Specialist in San Antonio, Texas
Title: Provider Enrollment Specialist Location: USA-Southwest Job Number: 00577439
Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and client engagements and the way we collaborate, operate and deliver value provides an unparalleled opportunity to grow and advance. Choose Accenture, and make delivering innovative work part of your extraordinary career.
People in our Client Delivery & Operations career track drive delivery and capability excellence through the design, development and/or delivery of a solution, service, capability or offering. They grow into delivery-focused roles, and can progress within their current role, laterally or upward.
Business Process Delivery professionals execute repeatable core business processes and/or technical transactions with a focus on efficiency, first-time quality and overall continuous process improvement.
The Provider Enrollment Specialist process enrollment and credentialing of providers for state Medicaid program.
Interact professionally with providers and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs including dental, vision, ambulance, physicians, nurses and all other provider types
Process to completion 100 of assigned applications utilizing documented work instructions, daily and meet minimum daily quotas.
Data entry of paper applications with validation of provider submitted enrollment information to insure the enrollment application meets the minimum standards
Compose and send deficiency letters to notify providers of incomplete inaccurate applications revising existing deficiencies and sending corrected letters based on QA audits as required.
Respond to inquiries regarding status of applications received
Research and contact providers to resolve enrollment application deficiencies
Send out provider applications, forms and other provider correspondence as requested
Adhere to Quality Assurance program in order to improve daily processing of applications and file maintenance transactions with a minimum quality score of 98
Makes recommendations to management to improve efficiency effectiveness of current manual processes through systemic modifications
Maintain strict confidentiality of information and job files as dictated by current HIPAA requirements
Respond to Tier III escalations and or file maintenance requests as assigned within the specified due dates
Flexibility to work overtime as dictated by daily production inventory requirements
Perform other duties as assigned by leadership.
High School diploma or GED
Minimum of 1 year of experience enrolling and credentialing healthcare providers
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Accenture is an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.
Equal Employment Opportunity
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Job: Business Process Delivery