Personnel analyst vs provider enrollment specialist

Differences between personnel analyst and provider enrollment specialist duties and responsibilities

Personnel analyst example responsibilities.

• Work with Kronos time keeping software and manage personnel files.
• Lead team development on new HRIS recruitment and selection system.
• Enter employees in HRIS, insurance and other benefit programs.
• Complete appropriate personnel and payroll documents to initiate pay status, change pay status, or change personal information.
• Design and adjust job specifications according to departmental requirements, legal standards, EEO guidelines, and task analysis results.
• Conduct payroll research and investigations.
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Provider enrollment specialist example responsibilities.

• Manage federal and state-mandate physician credentialing activities; act as NCQA committee liaison.
• Provide enrollment counseling to eligible recipients about Medicaid manage care and promote their voluntary enrollment into an HMO.
• Review provider enrollment applications to ensure the credentials and licenses meet all requirements for participation in the Medicare program.
• Verify provider is eligible to participate in Medicare according to CMS guidelines.
• Verify claim information using ICD-9 and medical terminology and CHAMPUS/ TRICARE guidelines .!
• Complete require forms and application for changes or updates in billing systems including EFT and or notification of Athena.
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