Provider Enrollment Coordinator - Out of State Enrollment - Remote

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.

What we Offer:
Career Growth Opportunities
Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
401K (Discretionary matching funds available)
Generous PTO
8 Paid Holidays
Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Out of State Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various Out-of-State Medicaid carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to and preparing/submitting a completed payer application.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Prepare and submit completed enrollment applications to applicable Out-of-State Medicaid agencies. This will include a mixture of group level and provider level applications.
• Ensure enrollment activities comply with state-Medicaid regulations and internal company policies
• Serve as the main point of contact for Out-of-State Medicaid agencies and providers specific to these enrollment approach
• Ability to collaborate and update team members when compliance updates with the Out-Of-State Medicaid enrollment processes are identified
• Work directly with our clinician population to secure any required documents/signatures in order to complete enrollment request
• Responsible for payer follow-up to secure application approval dates
• Adherence to data entry/document management protocols
• Timely resolution of application deficiencies
• Responsible for payer research as needed
• Review exception reports from management to prioritize critical issues
• Update leadership team when payers request additional forms or updating PE forms

Job Requirements: