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Provider Enrollment Research Representative in Alcoa, TN at TeamHealth

Date Posted: 3/7/2023

Job Snapshot

Job Description

If you are driven by success and want to work with a reputable company then apply with us!

Team Health 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 healthcare organization. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

 

WE OFFER:

  • Excellent Benefits
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • 401k
    • Generous PTO
    • 8 Paid Holidays
    • Flexible Spending Accounts
  • Growth Opportunities

 

JOB DESCRIPTION OVERVIEW:

This position is primarily responsible for working rejection codes linked to Provider Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely and efficient completion.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.
  • Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.
  • Report any errors or problems that affect claims from receiving payment.
  • Report any claim issues identified.
  • Report any carrier issues identified.
  • Maintain knowledge of ETM and carrier requirements.
  • Participate in weekly meeting with Manager.
  • Performs other duties and assignments as requested.

 

Job Requirements

EXPERIENCE / SKILLS:

  • High school diploma or equivalent required.
  • Demonstrated knowledge of physician billing.
  • Excellent oral and written communication.
  • Computer literate.
  • Excellent follow-up skills.
  • Excellent organizational skills