Provider Enrollment Specialist

Job Details:

Visit the ACS webpage | Click here to see Profile   Description Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 74,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive. If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today. Functional Description:
•        Interact with providers and ancillary staff to provide appropriate and timely response to inquiries and concerns regarding provider enrollment in traditional Medicaid (including dental, vision, ambulance, physician, RN and all provider types), THN, CSHCN and THSteps •        Process to completion 98% of complete applications within 5 days from the date of receipt and the other 2% within 10 days •        Send out deficiency letters to notify providers of incomplete/inaccurate applications or problems with application processing •        Maintain the production standard of 60 applications per week •        Respond to Tier III escalations in a timely manner, no later than 30 days •        Respond to the Provider Enrollment Mailbox as assigned on the rotation calendar •        Process enrollment applications to completion, once all information is received •        Update appropriate databases and C21 with contracting and provider information •        Respond to provider inquiries regarding status of applications received by ACS •        Call providers to disseminate time-sensitive information •        Coordinate with appropriate staff to notify appropriate providers in writing of any changes made to provider agreements and contracts •        Research provider issues related to enrollment in Medicaid, THN, THSteps, CSHCN and call providers with resolution to problems •