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Provider Enrollment Coordinator in Tamarac, FL at TeamHealth

Date Posted: 2/12/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

The Provider Enrollment Coordinator supports the Provider Enrollment Department by performing clerical duties, special projects, and general tasks. The Provider Enrollment Coordinator receives all notifications that a provider needs to be enrolled, identifies payer and facility requirements and generates required applications. This position is responsible for all payer research, application generation, preparation of the application, sending to the provider for completion and following up for missing paperwork.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Receives notifications from the Clinician Onboarding Liaison (COL)

 Tracks and generates applications within 60 days of contract start

 Conducts payer research on the provider

 Adds providers to the group in Teamworks

 Generates and prepares applications to send to provider

 Generates "Application Sent to Provider But Not Returned" reports in Teamworks to follow up with providers for status of outstanding billing paperwork

 Reviews returned packets for accuracy

 Review weekly exception reports from management to prioritize critical issues

 Follows up with providers for unreturned billing paperwork

 Sends updated credentials to the payer

 Primary point of contact for withdrawals; receive and update Teamworks and notify others, if needed

 Generate correct payer paperwork for revalidations/begin re-credentialing process

 CAQH re-attestations

 Partner with COL and Credentials Data Coordinators

 Train staff on Provider Enrollment processes

 Support Provider Enrollment Department

 

 

Job Requirements

PHYSICAL / ENVIRONMENTAL DEMANDS:

 General office environment

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

 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

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.