Job Description

Job Description

Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the worlds largest delivery network Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 469,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com.

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.

Job Description

The Provider Enrollment Specialist interacts 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.

Key Responsibilities:

* 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 ensure 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
* Make 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

Qualifications

Basic Qualifications

* Minimum of 6 months of experience enrolling and credentialing healthcare providers

Preferred Qualifications

* Experience with MS Office Suite

Professional Skills:

* Eagerness to contribute in a team-oriented environment
* Ability to work creatively and analytically in a problem-solving environment
* Good communication (written and oral) and interpersonal skills

Equal Employment Opportunity Statement

Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation. Our rich diversity makes us more innovative, more competitive and more creative, which helps us better serve our clients and our communities.

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.

Accenture is committed to providing veteran employment opportunities to our service men and women.

For details, view a copy of the Accenture Equal Opportunity and Affirmative Action Policy Statement

Requesting An Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email or speak with your recruiter.

Other Employment Statements

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.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

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