TAD PGS, Inc. Enrollment Specialist in Lincoln, Nebraska

Enrollment Specialist

Category: Administrative/Clerical


TAD PGS, INC. is currently seeking an Enrollment Specialist for one of our clients in Lincoln, NE.

Pay Rate:$13.46

Company Description:

For 40 years, our client has partnered with state, federal and local governments to provide critical health and human service programs to a diverse array of communities. They leverage their extensive experience and strong commitment to ethics to provide high quality services and solutions. With a passion for public service, their staff of approximately 16,000 employees is dedicated to providing innovative programs that improve the quality of life around the globe.

Major Responsibilities:

  • Reviews and screens provider enrollment applications for Nebraska Medicaid.

  • Researches, verifies and documents information pertaining to providers using secure external web services and t to complete screening and enrollment tasks as defined in the Project’s policies, procedures, and protocols as applicable for this position.

  • Provides excellent customer service by managing provider calls, obtaining information and answering questions, and in specific instances, refers callers to the Operations Manager for service and/or resolution.

  • Communicates with providers about ongoing enrollment status in accordance with set policies and procedures.

  • Notifies providers regarding incorrect or missing information and documentation in the Decision Point provider screening and enrollment system

  • Works with Site Visit Field Staff to verify results from site visits.

  • Works closely with the Customer Service Representatives and Mail Specialist and will also be cross-trained in these areas.

  • Maintains updated knowledge of the Provider Enrollment and Screening Project including policies and procedures as referenced in the employee manual and other policies adopted by corporate, the Project and Client, and as referenced in Desk Procedures for the Department and this position.

  • Adheres to the Standard Operating Procedures for this position.

  • Meets and/or exceeds Production and Quality Assurance goals as defined for this position.

  • Adheres to the Standard Operating Procedures for this position.

  • Meets Production and Quality Assurance goals as defined in policy for this position.

  • Immediately escalates any issues and/or concerns to the Operations Manager to ensure compliance to contractual requirements.

  • Cross-trained to provide back-up support to the Customer Service Specialists or Mail Specialist.

  • Other duties as may be assigned by management.

    Basic Hiring Criteria:

  • High school diploma or GED required;

  • Associates degree from an accredited college or university preferred

  • At least two (2) years of relevant experience preferred

  • Excellent organizational, communication and interpersonal skills

  • Strong customer service experience in a provider services environment Computer literacy; ability to work with MS Office (Excel, Word, PowerPoint)

  • Type 30+ wpm

  • Ability to perform comfortably in a fast-paced, deadline-oriented work environment

  • Ability to successfully execute many tasks simultaneously

  • Ability to work as a team member, as well as independently.

    Location Lincoln , NE

    Minimum Experience (yrs): 2+

    Required Education: H.S. diploma or equivalent


    Recruiter Contact Info:

    Recruiter Name: Kamille McField

    Recruiter Email: kamille.mcfield@adeccona.com

    Recruiter Phone:

    Company Info:

    TAD PGS, INC. specializes in delivering secure, reliable and rapidly implemented workforce solutions to the U.S. Federal marketplace, including U.S. Government agencies and their prime contractors. With more than 50 years of experience, TAD PGS, INC. has earned a reputation for accountability, a value that government agencies and prime contractors both demand and deserve. TAD PGS, INC. sources professionals for the full spectrum of federal positions, from administrative to management, and those contracts requiring extremely niche-oriented technical skills and the highest levels of security clearance.