Provider Network Enrollment Specialist

As a Provider Network Enrollment Specialist, you will be responsible for the prompt, courteous, accurate and timely enrollment processing for network providers engaging as contracting within all networks within BCBSKS. You will also be responsible for reviewing and assessing network enrollment eligibility, assisting providers with questions regarding network contracting and enrollment processes, and coordinating new enrollment completion with Provider Network Solutions Provider Representatives.

Requirements

• Must be able to learn and apply provider network contracting knowledge throughout enrollment processing for BCBSKS owned and serviced contracts.
• Ability to perform detailed research and gather supporting documentation, to provide network contract eligibility recommendations.
• Ability to work well with multiple active work items and adhere to both complimentary and competing service level agreements.
• Ability to communicate effectively with staff from provider offices, physicians, and all levels of internal staff required.
• Employ independent and procedural thinking skills to complete records within defined data entry systems.
• Understand sequential workflow procedures.
• Work with high degree of accuracy to complete enrollment processing within defined quality and compliance standards.
• Must comply with corporate information privacy and security standards and guidelines relative to access control.
• Proficiency in utilizing a personal computer is required with knowledge of Microsoft Office suite products.

Benefits

• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 5% 401(k) plan matching
• Tuition reimbursement
• Health & fitness benefits, discounts and resources