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Sr. Provider Enrollment Coordinator in Remote Position at TeamHealth

Date Posted: 1/14/2022

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/14/2022

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 Sr. Provider Enrollment Coordinator is primarily responsible for follow up with the carriers to ensure the application has been received, identify any deficiencies and help secure the provider numbers. Responsibilities include notifying billing center for reviewing, researching and resolving DMS (claim denials associated to Provider Enrollment issues)/provider hold issues each week.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

◊ Generate ‘Applications Sent to Carrier but not Effective’ reports from Teamworks
◊ Follow up with carriers and document in Teamworks
◊ Receives notification of provider number/effective date and PAR status(es)
◊ Completes, submits and documents stationery to billing center
◊ Works with corporate hold report, releases claims, identifies charge corrections and write offs (write offs must have approval of PE Director)
◊ Resolves DMS issues each week by researching and releasing claims, solving enrollment issues with payers and/or ensuring revalidation is complete
◊ Review weekly exception reports from management to prioritize critical issues
◊ Resolve deficiencies
◊ Delegates revalidations and re-enrollment to Provider Enrollment Coordinator when identified
◊ Research and reviews billing center inquiries about IDX and billing issues
◊ Train staff on Provider Enrollment processes
◊ Support Provider Enrollment Department

 

Job Requirements

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.

PHYSICAL / ENVIRONMENTAL DEMANDS:

◊ 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