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Provider Enrollment Representative in Knoxville, TN at TeamHealth

Date Posted: 3/7/2019

Job Snapshot

Job Description



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.


◊ 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



◊ 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.


◊ Job performed in a well-lighted, modern office setting

◊ Ability to work a flexible schedule and after-hours as needed with access to appropriate technology

◊ Occasional travel by plane and/or car

◊ Occasional lifting/carrying (10 pounds or less)

◊ Occasional standing/bending

◊ Moderate to high stress level

◊ Prolonged sitting

◊ Prolonged computer/PC work

◊ Prolonged telephone use

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.