Provider Enrollment Specialist Cover Letter

Please consider me for the provider enrollment specialist opportunity. I am including my resume that lists my qualifications and experience.

In the previous role, I was responsible for functional support to the Provider Enrollment Support Team within the National Provider Enrollment Department.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Coordinates credentialing data needed for enrollment, and other related purposes
• Responds to internal and external inquiries on routine enrollment and contract matters
• Experience with Medicare, State Medicaid, and third party practitioner enrollment preferred
• Strong Knowledge of Medicaid, Medicare and commercial insurance preferred
• Strong written, phone, and verbal communication skills
• Medicare, State Medicaid, and third party practitioner enrollment experience preferred
• CAQH, MD-Staff credentialing database, or other credentialing/enrollment data bases preferred
• High School Diploma or state-issued GED equivalency

I submit this application to express my sincere interest in the provider enrollment specialist position.

Previously, I was responsible for outreach to the provider when necessary documentation is missing and returns incomplete enrollment applications as appropriate.

Please consider my qualifications and experience:

• Proficiency with spreadsheet, word processing, and database software (preferably Excel, Lotus, MS Word, WordPerfect)
• Minimum of 6 months of experience enrolling and credentialing healthcare providers
• Possess knowledge of provider enrollment and re-enrollment rules, procedures and systems, including those defined by Medicare, the National Commission of Quality Assurance (NCQA) and the Council for Affordable Quality Healthcare (CAQH)
• Be able to manage large work volumes under tight timeframes/deadlines
• Have experience working in a professional billing system, preferably Epic
• Knowledge of insurance payer market as it relates to the Memphis area
• Knowledge of medical and professional credentialing processes including provider enrollment with the various payers and privilege appointments with various hospitals
• Skill and proficiency with Microsoft Word and Excel

I am excited to be applying for the position of provider enrollment specialist. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for frequent status reports to management and other related departments around the status of the enrollment process.

Please consider my experience and qualifications for this position:

• Knowledge of health plan and governmental payer credentialing, enrollment and requirements acquired through completion of a CPCS certification course, or sufficient job-related experience with intent to pursue certification
• Knowledge of insurance billing practices normally acquired through previous experience
• Proficient in database management and Microsoft Office applications preferred
• Research and resolve enrollment and claims issues
• Maintain current and correct information in provider database
• Government healthcare payor experience preferred
• Experience in Medicaid policy and procedures related to the Department of Behavioral Health and Developmental Disabilities
• Behavioral healthcare and/or developmental disabilities administrative experience

I submit this application to express my sincere interest in the provider enrollment specialist position.

Previously, I was responsible for training in Provider Enrollment policies and systems to new Associates and provides corrective training or training in new Provider Enrollment initiatives.

Please consider my experience and qualifications for this position:

• Skills to create and interpret graphs, charts, presentations and spreadsheets
• Strong verbal, writing and presentation skills and strong customer service skills
• Strong attention to detailStrong organizational and follow up skills
• Knowledge of provider enrollment, credentialing, medical terminology and insurance billing as demonstrated by work experience or education
• Previous experience in a business setting with fundamental clerical skills, preferably with medical or provider enrollment background
• Computer proficiency with intermediate MS Office skills
• At least an intermediate level of proficiency with MS Excel and Word
• Familiarity with MassHealth regulations and standards

I submit this application to express my sincere interest in the provider enrollment specialist position.

Previously, I was responsible for data analysis and develop reports from the Banner and other student success and enrollment management software systems.

My experience is an excellent fit for the list of requirements in this job:

• Skill and proficiency with computer systems and applications related to practice management systems and credentialing software
• Proficiency in Windows, MS Office applications, and the Internet
• Excellent verbal/written communication skills are necessary
• Apply computer knowledge to proper use of internal systems including, but not limited to, Epic, Echo, Excel, PET Tracker, IGuide, Qliksense, NPL Tracker, Internet, Outlook and word processing
• Able to multitask, keeping a variety of tasks on track
• Able to perform effectively in stressful and complex situations
• Able to operate and understand computer system and capable of learning new systems
• Knowledge and skills in using personal computers (Windows) with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel and Adobe Acrobat