Description We are seeking an organized and detail-oriented individual to join our team in Springfield, Massachusetts as an Administrative Assistant, primarily working in Provider Enrollment. This role is based in the healthcare industry and offers a short-term contract employment opportunity.

Responsibilities:

• Contribute to the revenue of our health system through the maintenance of providers with government and commercial health plans.

• Handle the initial enrollment, re-enrollment, and termination of participation for our physicians and other professional providers.

• Maintain effective communication with internal and external parties, including individual providers, practice managers, and credentialing departments.

• Primarily responsible for provider re-enrollment, termination activities, and supporting initial enrollment work.

• Gather, compile, and maintain renewed licensure, board, and insurance information in provider enrollment files and databases.

• Review provider information for accuracy and completeness and follow-up with providers to fill in any gaps in the information.

• Assist in follow-up work with health plans in a way that assures minimal or no delays in ascertaining the status of applications.

• Maintain orderly, complete, and up-to-date files on each individual provider.

• Adhere to established procedures and controls to provide follow-up and reporting on outstanding provider enrollment issues.

• Maintain provider enrollment reports and other records of provider enrollment activity. Requirements • Proficient in communication, both written and verbal, to interact effectively with various partners and external parties

• Demonstrated skills in reporting and reviewing documents, ensuring accuracy and completeness

• Knowledge of administrative procedures and planning processes, managing and streamlining office operations

• Experience with database management and workstation support for smooth information flow and record keeping

• Familiarity with insurance procedures, including health plan, Medicare, and manage care

• Understanding of revenue accounting and business intelligence technologies for financial management and decision making

• Experience in credentialing, licensure, provider enrollment, and re-credentialing application processes within a health system

• Ability to handle terminations in accordance with federal agencies and corporate risk guidelines

• Knowledge of physician billing, focusing on accuracy and compliance

• Ability to work with health systems, payors, and other relevant parties to ensure seamless operations.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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