Enrollment Specialist
Company: Hornet Staffing, Inc, a GEE Group company
Location: Irving
Posted on: January 16, 2026
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Job Description:
Job Description Provider Enrollment Specialist-
Medicare/Medicaid Job description: Coordinates Medicare and
Medicaid enrollment/re-enrollment and managed care credentialing
and contracting processes for providers. Serves as administrator
for billing system and assists practices with system issues.
Maintains NPI files and provider numbers. Serves as customer
service liaison. Monitors accounts receivable to maintain
appropriate levels and reviews payments to maximize reimbursement.
Interacts with patients, insurance carriers, the billing vendor and
practice personnel concerning patient accounts. Performs all
functions in a courteous and professional manner MAJOR JOB
RESPONSIBILITIES • Collects and maintains data on providers for
Medicare and Medicaid enrollment • Prepares and submits
applications to Medicare and Medicaid for new provider enrollments
and existing provider updates; follows up by telephone or in
writing, with carriers regarding application status • Complies with
Medicare and Medicaid provider enrollment guidelines • Requests NPI
numbers for providers and clinics as necessary and maintains NPI
files • Follows up, either by telephone or in writing, with
insurance companies and patients regarding the processing of
outstanding claims and/or appeals • Generates various reports to
identify outstanding claims issues with provider numbers and
non-payment • Communicates information to appropriate personnel •
Educates staff on corrections, e.g front-end entry errors in a
positive, constructive manner • Collects and reviews managed care
contracts for correct billing and payment terms • Identifies
problem accounts and follows through to completion • Reviews Athena
correspondence and unpostables • Participates in company sponsored
enrollment/credentialing meetings and other educational activities
• Participates in Billing System Training exercises and updates •
Assists in training on the Billing System software package when
necessary • Serves as a Superuser of the Billing System to be
available to answer questions from the various clinics • Follows
guidelines related to the Health Insurance Portability and
Accountability Act (HIPAA), designed to prevent or detect
unauthorized disclosure of Protected Health Information (PHI) •
Maintains strict confidentiality
Keywords: Hornet Staffing, Inc, a GEE Group company, Rochester , Enrollment Specialist, Accounting, Auditing , Irving, New York
