Provider Enrollment Specialist in Louisville, KY at ResCare

Date Posted: 7/6/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    7/6/2018

Job Description

ResCare 

Title: Provider Enrollment Specialist

Job Category: Corporate Services

Line of Business: Resource Center Services

About ResCare

Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human services company offering services for people with intellectual and developmental disabilities, home care for seniors, as well as education, vocational training, and job placement for people of all ages and skill levels. Right now, we have an exciting opportunity for you to join our team as a Provider Enrollment Specialist.

About this Line of Business

Since 1974, ResCare, Inc., has been dedicated to impacting communities for the better with a mission to help people live their best life. As the largest diversified health and human services provider in the U.S., ResCare makes a difference in people's lives and communities by providing home and community-based health services to complex populations.

With more than 45,000 dedicated employees serving over 60,000 people daily across the country, ResCare offers daily living, behavioral health and other health-related support services, pharmacy, remote monitoring solutions, neurorehab therapy, along with vocational training and job placement for people of all ages and skill level.

ResCare is changing the industry through our commitment to continuous quality and safety improvements, and we're investing in technology to connect homes and people. We're also working with federal and state government agencies to educate and advocate for the use of those needed care solutions to improve quality outcomes and reduce costs.

As a(n) Provider Enrollment Specialist you will: 

The Provider Enrollment Specialist will assist the Company’s Legal Department by enrolling and tracking Medicare, Medicaid and private payer provider applications as well as re-validations and re-credentialing applications. In addition, the Provider Enrollment Specialist may be asked to work with the Licensing Department to complete facility licensure applications.

Essential Job Responsibilities:

  • Ability to work with people across multiple disciplines to obtain information needed to compile and submit complete and accurate provider applications and renewals.
  • Coordinate and maintain a tracking database for provider contracts and re-validation, re-credentialing and enrollment applications and correspondence.
  • Support ResCare’s Business Development Team in connection with corporate transactions, including mergers and acquisitions.
  • Interact externally with various federal and state agencies, government payers and managed care organizations. 
  • Adherence to Company and governmental guidelines with respect to confidential and protected health information.
  • Work AR department and/or operations to resolve billing issues.
  • Performs other duties as assigned.

Position Requirements

Education, Experience and Certification

  • GED or High School Diploma required.
  • Bachelor’s degree preferred.
  • Proficient in Word, Excel and PDF Converter
  • Ability to manage multiple deadlines and prioritize multiple assignments.
  • Detail oriented with strong organizational skills

Knowledge, Skills and Abilities

  • Strong written and oral communication skills.
  • Good interpersonal skills and the ability to successfully communicate with people from all levels within the organization as well as with external parties, including government contacts.
  • Familiarity with government regulations and legal research.
  • Knowledge of the Medicaid and Medicare programs.
  • A desire to work collaboratively in a small, dedicated Legal Department.
  • Ability to work independently and with highly confidential information.
  • Special attention to detail.
  • Consistent demonstration of accuracy, thoroughness and timeliness in completing assignments.
  • Prior experience in the health care or managed care industry is desirable.

Additional Information



Benefits

ResCare offers a comprehensive benefits package to full-time employees including medical, dental, vision, paid time off, disability, life, and tuition reimbursement. All employees age 21 and older are eligible to participate in the 401(k) retirement savings plan.

ResCare is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

9901 Linn Station Rd FL 6 - 11 , Louisville, KY 40223-3824 USA