TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Rep 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
QUALIFICATIONS / EXPERIENCE:
◊ HS Diploma or equivalent; Some college preferred
◊ One year of experience with contracts, legal documents or other health care related work
◊ 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
◊ Overtime may be required; Some training and seminar attendance may require overnight travel.
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