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MPR Specialists

Medical Provider Resources, Inc.

Come join our GROWING TEAM ! We are currently hiring additional team members across ALL teams!

Work Location: in person only in Wichita, KS or Kansas City, MO

You'll join a team that values your ideas, invests in your growth, and believes you shouldn't have to choose between doing excellent work and having a life outside of work. Benefits include :

·28 days of PTO/holidays/mental health/volunteer time in the first full calendar year

· Growth Opportunities

· Cross-Training

· Career Development Program

· Team Member Appreciation

· Flexible Schedules

· Wage amount will be commensurate with experience.

PROVIDER ENROLLMENT ( PE) SPECIALIST:

Competency

· Knowledge of payer enrollment processes and requirements, including PECOS and CAQH.

· Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a fast-paced environment.

· Demonstrate accuracy, organizational and problem-solving skills.

· Excellent verbal and written communication skills.

· Ability to work independently.

· Maintains confidentiality.

Required Education and Experience

·3+ years of Provider Enrollment experience preferred.

· Must be working toward PE Certification.

· Experience with CAQH and PECOS.

· Proficient in Microsoft 365.

· Familiar with internet.

· Excellent written and verbal communication skills.

· Experience with credentialing software.

Preferred Education and Experience (Provider Enrollment Specialist III)

· Relevant education and certification a plus.

·5+ years of experience preferred.

MAIN DUTIES

· Enroll medical providers in health plans.

· Coordinates credentialing data needed for enrollment, contracting, and other related purposes.

· Creation and maintenance of CAQH Application.

· Ongoing monitoring and support of provider documentation including Kansas State or Other State Licensure, DEA, NPI, Certificate of Insurance and other documents as required by the regulatory agencies.

· Complete Third-Party Payer Applications.

· The ability to work with diverse internal and external customers.

· Terminating providers with current practice at the request of the client.

PRIMARY SOURCE VERIFICATION (PSV) SPECIALIST:

Competency

  • Knowledge of Initial Appointment, Reappointment and Final Quality processes and requirements, including CMS, TJC, NCQA, URAC, AAAHC, ACHC (HFAP) and DNV.

  • Strong attention to detail, organizational skills, and the ability to manage multiple tasks in a fast-paced environment.

  • Demonstrate accuracy, organizational and problem-solving skills.

  • Excellent verbal and written communication skills.

  • Ability to work independently.

  • Maintains confidentiality.

Required Education and Experience

  • 3+ years of experience preferred.

  • Must be working toward NAMSS Certification.

  • Experience in working with provider database and running reports.

  • Proficient in Microsoft 365.

  • Familiar with internet.

  • Excellent written and verbal communication skills.

  • Experience with credentialing software.

Preferred Education and Experience (PSV Specialist III)

  • 5+ years of experience preferred.

  • Relevant education and NAMSS certification a plus.

MAIN DUTIES

  • Process Initial Appointment Applications.

  • Process Locum Tenens Initial Appointment Applications as Requested.

  • Process Requests for Additional Privileges.

  • Process Telemedicine Applications.

  • Process Reappointment Applications.

  • Final Quality Review.

PI4c9e52263fb1-38059-41623197

Vacancy posted 8 hours ago
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