Industry: IT Consulting/Services•
Less than 5 years
Posted 416 days agoby Theja Mohan
· Primary responsibilities include Providers, reviewing and processing Medicaid, provider enrollment applications according to DHA approved enrollment criteria, ACA, and other federal requirements and procedures.
o Update and maintain accurate provider files in interchange system which includes documenting information such as a provider address(s), Social Security Numbers, Tax ID numbers, any past cancellations or sanctions, any changes to the provider file, and pay to information.
o Respond to calls or written correspondence received from providers relating to enrollment issues as needed.
o Ensure all departmental and Medicaid, WCDP, and WWWP program quality and quantity standards are met.
o Research and compile effective dateappeals for DHS.
o Perform daily verification of keyed data for accuracy and notifying appropriate PM Clerk of errors for corrections.
· The role will require knowledge of Windows based programs and a familiarity with basic office equipment; fax, printer, PC etc.
· Will be working with both DXC and State liaison each day.
Education and Experience:
Knowledge and Skills: