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Job Requirements of Lead Provider Enrollment Coordinator:
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Employment Type:
Full-Time
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Location:
USA (Remote)
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Lead Provider Enrollment Coordinator
JOB DESCRIPTION OVERVIEW
Under supervision of the Provider Enrollment Director, the Lead Provider Enrollment Coordinator supports the day-to-day activities of the provider enrollment team in alignment with department and organizational goals. Provider Enrollment is an integral part of a successful Revenue Cycle Operation and the Organization’s ability to meet financial goals, impact patient satisfaction, and client retention.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Serve as resource for Enrollment Associates; field and triage inquiries and escalate issues to Manager/Director as appropriate
With support and guidance from the NPE team and oversight from the Manager and Director, conduct Associate training activities including onboarding of new/transferred Associates, in-service trainings, and re-education as appropriate
QA PE processes (adherence to timeframes and proper execution of enrollment steps), group/individual applications, and rosters; provide direct feedback and/or re-education to Enrollment Associates as errors are identified; report performance trends to Manager/Director
Monitor accuracy of applications in Enrollment Software and submit/manage changes as needed
Complete payer research for new payers and ensure guidelines are known; train department members on same; participate in start-ups to assist with payer research (payer requirements, submission method, obtaining current forms, etc.)
Submit, track, and follow up on retroactive considerations/appeals
Support ad hoc project efforts by tracking progression, monitoring milestones, and alerting project members of impending/past due deliverables
Identify potential process improvements throughout all enrollment activities; implement process improvements as determined by Director
Serve as back-up to PE Managers and Enrollment Associates as needed
Identify and coordinate team-building activities to foster team culture and cohesion
Other duties as assigned
QUALIFICATIONS / EXPERIENCE
1–3+ years supervisory/lead experience preferred
3+ years of provider enrollment/revenue cycle experience preferred
Demonstrated ability to work effectively across the revenue cycle, operations, and IT to promote positive change
Excellent organizational abilities
Ability to prioritize tasks and projects
High degree of judgment, independent decision-making, analytical evaluation, critical thinking, and problem-solving skills
Ability to maintain professionalism and composure
Excellent written and oral communication skills
Ability to multi-task and prioritize workload in a fast-paced, evolving environment
Ability to work independently and remotely, with sound judgment regarding when to act independently and when to escalate issues
Proficient with Microsoft software