Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- GENEROUS Personal time off
- Eight Paid Holidays per year
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 Trainings 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 and train department members on same. Participate in start-ups specifically to assist with payer research (payer requirements, submission method, obtaining current forms, etc)
- Submit, track, follow up on need for and requests of 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/coordinate team building activities to foster team culture/cohesion
- Other duties as assigned
