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Provider Enrollment Maintenance Coordinator in Remote Position at TeamHealth

Date Posted: 7/10/2024

Job Snapshot

Job Description

TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.

This is a REMOTE position!

JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Maintenance Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to the authorized signer and preparing/submitting a completed payer application. Responsibilities also include completing all CAQH’s and CAQH re-attestations, online applications and re-enrollment applications.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Generate “Applications Stopped in House” reports from Teamworks
  •  Review weekly exception reports from management to prioritize critical issues
  • Preparing and sending applications to payers
  • Completing online applications/CAQH
  • Documenting data in Teamworks
  •  Requesting IDX# from billing center/IDX maintenance
  • Resolving application deficiencies
  • Update management when payers request additional forms or updating PE forms
  • Train staff on provider enrollment processes
  • Partner with Clinician Onboarding Liaison (COL) and Credentials Coordinator (CDR)
  • Support Provider Enrollment department

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • HS Diploma or equivalent; Some college preferred
  • Experience working in Provider Enrollment and with CAQH is required
  • Proficient in Microsoft Office applications
  • Meticulous accuracy
  • Ability to make decisions and solve problems
  • Excellent communication skills (verbal and written); Ability to communicate effectively with Providers, Medical Directors and VPOs
  • Excellent organizational skills with the ability to prioritize and manage multiple projects
  • Ability to meet challenging deadlines; ability to function in stressful situations
  • Ability to work in a team environment

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