Talent.com
Provider Enrollment & HR Analyst
Provider Enrollment & HR AnalystBestSelf Behavioral Health • Buffalo, NY, United States
[error_messages.no_longer_accepting]
Provider Enrollment & HR Analyst

Provider Enrollment & HR Analyst

BestSelf Behavioral Health • Buffalo, NY, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]
Provider Enrollment & HR Analyst

FLSA Status: Non-Exempt

Starting Range: $24.50- $28.57 per hour

Located at 899 Main St., Buffalo, NY 35 Hours Full-Time

SUMMARY OF DUTIES

The Provider Enrollment & HR Analyst is responsible for preparing and submitting applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers. The Provider Enrollment & HR Analyst also processes new applications, revalidations, and updates roster, performs confidential administrative tasks associated with the human resource management of the agency. The Provider Enrollment & HR Analyst will maintain HR files in accordance with all mandating guidelines. Builds and runs reports on an as needed basis. Works with multidisciplinary team to develop, track, and monitor quality & compliance indicators, staff in-services, mandatory and elective trainings, and quality improvement information.

POSITION RESPONSIBILITIES

Provider Enrollment

  • Maintain updated knowledge of Provider Enrollment regulations and develop new/update existing procedure documentation.
  • Collaborate with insurance carriers to ensure the team is enrolling new BestSelf programs by following the applicable requirements and enrollment procedures.
  • Investigate new external electronic platforms used by insurance carriers and ensure the team is prepared to utilize efficiently and effectively.
  • Receive and analyze all verified documentation for Providers and execute provider enrollment with carriers.
  • Process new enrollments, revalidations, and making sure all providers are linked with their appropriate sites.
  • Shares essential updates with providers and internal teams as necessary in weekly summary reports or other correspondence.
  • Collaborate with the Billing team on enrollment issues to investigate and correct.
  • Work closely and effectively with the Insurance Carriers and Providers.
  • Correspond with providers and Program Directors as necessary.
  • Establish a relationship with the carrier credentialing representative and keep up on any changes or updates with the carriers.
  • Communicate with providers on any enrollment issues, needs and updates.
  • Update Providers CAQH accounts.
HRIS
  • Runs various audit reports on a determined frequency from the HRMS to ensure employee data and file documentation is compliant.
  • Provide reports to HR management team, SMT and/or EMT as requested by the Talent Acquisition and HRIS Manager.
  • Protects employee data by maintaining access rights to our employee databases and documents.
  • Assists the Talent Acquisition & HRIS Manager in confidential tasks associated with Human Resource management of the agency.
  • Enters, updates, and verifies data in HRMS as directed.
  • Works closely with the other branches within the agency to provide a seamless employee experience as it relates to their career, wages, and benefits.
  • Serve as a liaison between the agency and our HR systems in developing new processes and resolving any technology issues that may arise.
  • Using state and national web sites, monitors license and other sanctions monthly.
  • Develops and maintains mechanisms to track agency wide audit information, such as excel spread sheets and HR software.
  • Promote agency's Racial Equity and Inclusion concepts.
  • Builds and maintains an effective, professional, and positive working relationship with all levels of employees
  • Provides timely, caring, and thorough employee service when employee inquiries are received.
  • Provide support and guidance to the HRIS and Talent Acquisition teams as needed and as requested.
  • Maintain confidentially and containment with to remain in compliance with HIPAA and protect employee information at all times.
  • Completes all trainings required by the agency.
  • Performs all other duties as assigned.
QUALIFICATIONS
  • Bachelor's degree in Business or Human Resources and 2 years of HR related experience - OR- Associate's degree in Business or Human Resources and 4 years of HR related experience
    • PLUS 2 years of experience with processing the full Provider Enrollment cycle.
  • Strong knowledge working with report writing databases as well as common office technology/software including the use of the Microsoft Office Suite.
  • Ability to maintain confidentiality
  • Excellent communication skills with all levels of staff
  • Efficient time management
  • High attention to detail
  • Understanding of the agency's programs and services
  • Experience working with and full understanding of insurance carriers' processes.
  • Familiarity with NCQA standards and how to apply them.
  • Proficient with basic computer systems, networks, and software applications, such as the Microsoft Office Suite (Outlook, Word, and Excel).
Benefits include:
  • Generous paid time
  • Multiple health insurance options
  • Employee referral bonus
  • Tuition Reimbursement
  • Clinical license renewal reimbursement
[job_alerts.create_a_job]

Provider Enrollment & HR Analyst • Buffalo, NY, United States

[internal_linking.similar_jobs]

Board Certified Behavior Analyst

Emerge ABABuffalo, NY, United States
[job_card.full_time]

We are seeking a dedicated and compassionate Board Certified Behavior Analyst (BCBA) to join our team in New York.The ideal candidate will have a strong background in behavioral therapy and experie...[internal_linking.show_more]

 • [job_card.promoted]

Employee Benefits CSS - Medicare & Individual

LawleyBuffalo, NY, United States
[job_card.full_time]

Support our Account Executive's (NYSOH and Medicare) clientele with scheduling appointments, data entry into multiple systems and CRM's, answering first-level Medicare questions.This position requi...[internal_linking.show_more]

 • [job_card.promoted]

Provider Reimbursement & Network Services Analyst I/II/III

Univera HealthcareBuffalo, NY, United States
[job_card.full_time]

Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the compositi...[internal_linking.show_more]

 • [job_card.promoted]

Business Systems Analyst

Collabera TechnologiesBuffalo, NY, United States
[job_card.temporary]

Contract: Buffalo, New York, US.Days Left: 23 days, 3 hours left.Months Contract(Possible Extension).The Company offers the following benefits for this position, subject to applicable eligibility r...[internal_linking.show_more]

 • [job_card.promoted]

Staff Internal Auditor - Institutional Client Services, Wealth, HR

M&T BankBuffalo, NY, United States
[job_card.full_time]

This role is hybrid (4 days/week) reporting out of: Buffalo NY, Bridgeport CT, or Wilmington DE.Must be within a commutable distance or willing to relocate.Participates in all phases of the audits ...[internal_linking.show_more]

 • [job_card.promoted]

Payroll Processor

Alcott HRBuffalo, NY, USA
[job_card.full_time]
[filters_job_card.quick_apply]

As a Payroll Processor with Alcott HR, you will have the opportunity to work with an innovative team and support our clients in all facets of payroll.You will also have the chance to participate in...[internal_linking.show_more]

Full-Cycle AP & Payroll Specialist

Canisius UniversityBuffalo, NY, United States
[job_card.full_time]

Full-Cycle AP & Payroll Specialist.Now Hiring! Full-Cycle AP & Payroll Specialist Location: Administration & Finance Schedule: M-F, business hours (37.Canisius University serves approximately 2,500...[internal_linking.show_more]

 • [job_card.promoted]

BSA-AML Analyst space

United ITBuffalo, NY, United States
[job_card.full_time]

Location: 5 days onsite in Buffalo, NY.Type: FTE Visa H1b, GCEAD, GC, USC.Job Description: 3+ Yrs exp BSA coming from Banking domain.[internal_linking.show_more]

 • [job_card.promoted]

Workday Analyst (Temp to Perm)

American Arbitration Association Inc.Buffalo, NY, US
[job_card.part_time] +1

We are seeking a Workday Analyst to support the configuration, optimization, and maintenance of the Workday platform.This role will partner closely with the AVP HRIS to support implementation effor...[internal_linking.show_more]

Analyst - Earn Up to $37/hr

TradeJobsWorkforce14213 Buffalo, NY, US
[job_card.full_time]

ESSENTIAL JOB FUNCTIONS Analyzes global markets for IT Services, servers, storage, backup, IT security, productivity software, remote monitoring services, hyperconvergence and IoT.Studies SMB and m...[internal_linking.show_more]

 • [job_card.promoted]

HR Employee Support Generalist

MoogBuffalo, NY, United States
[job_card.full_time]

HR Employee Support Generalist.Moog is a performance culture that empowers people to achieve great things.Our people enjoy solving interesting technical challenges in a culture where everyone trust...[internal_linking.show_more]

 • [job_card.promoted]

Senior Compensation Analyst | EST or CST USA | Remote

Grafana LabsBuffalo, NY, United States
[filters.remote]
[job_card.full_time]

Senior Compensation Analyst EST or CST USA RemoteGrafana Labs is a remote-first, open-source powerhouse.There are more than 20M users of Grafana, the open source visualization tool, around the glob...[internal_linking.show_more]

 • [job_card.promoted]

Service Center Operational Excellence Analyst

Willis Towers Watson PlcBuffalo, NY, United States
[job_card.full_time]

Service Center Operational Excellence Analyst.The OPX Specialist supports Service Center Operations by leveraging prior experience in Benefits Outsourcing and inbound Service Center environments, w...[internal_linking.show_more]

 • [job_card.promoted] • [job_card.new]

Enrollment Specialist

AO Globe LifeBuffalo, NY, US
[job_card.full_time]
[filters_job_card.quick_apply]

AO Globe Life is hiring motivated professionals to join our mission-driven, fully remote team.This opportunity is ideal for recent or soon-to-be graduates in business, marketing, communications—or ...[internal_linking.show_more]

Lead Business Analytics & Reporting Analyst (Hybrid - Buffalo, NY)

M&T BankBuffalo, NY, United States
[job_card.full_time]

This position will be responsible for streamlining ongoing activities and assuming the lead role in the assessment, planning, coordination, and implementation of defined projects that support servi...[internal_linking.show_more]

 • [job_card.promoted]

Specialist, Benefit Sales (In Field - Erie & Orleans, NY)

Molina HealthcareBuffalo, NY, United States
[job_card.full_time]

Member Enrollment Support Specialist.Provides support for member enrollment activities including identifying, interviewing and screening prospective eligible members for Molina health insurance pro...[internal_linking.show_more]

 • [job_card.promoted]

HR Core Services Intern

Lactalis American GroupBuffalo, NY, United States
[job_card.full_time]

Ready for more than just a job? Build a career with purpose.At Lactalis in the USA, we're committed to providing meaningful opportunities for our people to learn, grow, and thrivewhether you're jus...[internal_linking.show_more]

 • [job_card.promoted]

Provider Reimbursement & Network Services Analyst I/II/III

Excellus Health PlanBuffalo, NY, United States
[job_card.full_time]

Under the general direction of the Assigned Management, and in accordance with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the compositi...[internal_linking.show_more]