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Provider Clerk
Ref No.: 18-11871
Location: Oak Brook, Illinois
Start Date / End Date: 10/01/2018 to 12/23/2018
Request ID: 3097-1
Job Title: Provider Clerk
Location: Oak Brook, IL 60523
Duration: 2 Months


Job Description:
  • Provides support services to the Provider Enrollment Department to ensure that provider correspondence is handled accurately and timely.

Essential Functions:
  • Maintains order of the file room.
  • Copies and sends records requested by DHH (Department of Health and Hospitals), SURS (Surveillance and Utilization Review), and the Fraud Control Unit.
  • Makes new folders for all new enrollments. o Files all requests received on currently enrolled providers.
  • Updates file record labels for any name changes. Replaces worn file jackets.
  • Prepares closed provider files for storage in the warehouse.
  • Assists with the copying and delivery of load sheets to Files Maintenance.

Knowledge/Skills/Abilities:
  • Ability to abide by Client's policies, General knowledge of PC
  • Good organizational skills
  • Ability to maintain attendance to support required quality and quantity of work
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers

Required Education:
  • High School Diploma or equivalent GED

Required Experience:
  • 0-2+ years of experience Working knowledge of document handling procedures

Day to day responsibilities: pulling files, answering emails, provider welcome letters, and monitoring PNM data
Minimum years of experience: 3-4 years of contract administration experience