Provider Enrollment Representative

Job description

·  Job Description:

DXC Technology (NYSE: DXC) is the world’s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public sector clients across 70 countries. The company’s technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally. For more information, visitwww.dxc.technology .

Assists Providers in a call center setting and interacts with internal departments on provider enrollment issues and updates. Facilitates the enrollment of Medicaid Providers into the Molina system and provides maintenance to provider files as necessary.

Responsibilities:

·  ​Handles heavy inbound call volume.
·  Assists providers via telephone to resolve issues or assist with changes related to their provider file.
·  Updates provider files with certifications and license
·  Facilitates all provider changes, such as, change of address, phone/fax update, physician specialties, etc.
·  Navigates multiple licensing internet sites to obtain required verification on new enrollments and re-enrollments.
·  Reviews provider enrollment applications and supporting documentation for accuracy, and corresponds with providers regarding any discrepancies.
·  Follows up with providers on outstanding issues within contractual guidelines set by our customer.
·  Provides excellent customer service.
·  Interacts with providers in a professional manner and knows when to elevate calls, and identifies the root cause.
·  Meets and retains quality and production standards set by management.
·  Interacts with providers, in a timely and professional manner, including escalating recurring or critical issues to Supervisor.
·  Reviews all applications, provider requests and supporting documentation for accuracy and completeness and prepares this information to be added to the file according to policy, in a prompt, timely manner as directed per contractual guidelines.
·  Ensures sanction checks are performed on all new enrollments, re-enrollments and change of ownership applications.
·  Returns all rejected/deniedapplications/forms/correspondenceswith written documentation giving the reason for the rejection or denial.
·  Learns and processes more complex provider types.
·  Assists team members with questions and provides support with high volume circumstances.
·  Performs or assists with system testing for any software upgrades.
·  Assists with the distribution of work objects within PETS.
·  May assist with indexing as necessary.

Education and Experience:

·  High School Diploma or equivalent GED
·  3-5 years customer service/call center experience
·  Customer Service/Call Center Experience  
·  Familiar with data input
·  Medicaid experience preferred
·  Medical Claims experience preferred