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Provider Enrollment Representative in Tamarac, FL at TeamHealth

Date Posted: 7/25/2019

Job Snapshot

Job Description

The Provider Enrollment Representative supports the Provider Enrollment Department by performing clerical duties, special projects, and general tasks as assigned by the Supervisor. The PE Rep may help assists the Sr. Provider Enrollment Specialist and Supervisor by obtaining and coordinating all necessary provider enrollment applications for billing to various carriers.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Helps prepare application sets for mailing.

 Assists Provider Enrollment Specialist and Sr. Provider Enrollment Specialist with preparing necessary documents for issuance of provider numbers for physicians and midlevel providers.

 Assists Provider Enrollment Specialist, Sr. Provider Enrollment Specialist and Supervisor in a team effort on projects, such as new start-ups, change in business (i.e. tax ID numbers and entities) as required by carrier, or when directed by the Supervisor.

 Receives and distributes all incoming mail from the Post Office and other TeamHealth locations.

 Maintains organized group and individual provider files.

 Helps prepare applications for issuance of provider numbers for physicians and midlevel providers, makes copies, and faxes information as assigned.

 Updates information as assigned.

 Prepares W-9 forms and correspondence.

 Assists Supervisor with reports.

 Communicates information input into the IDX System and TeamWorks including new providers and updates of provider information using the appropriate forms.

 Responsible for Annual Disclosures.

 Research Revalidations.

 Responsible for payer research when requested.

OTHER RESPONSIBILITIES:

•Follows TeamHealth guidelines for preparing documents in a consistent and accurate manner.

•Reports any detected problems, errors, and/or changes in provider enrollment requirements when discovered.

•Understands and complies with TeamHealth Compliance Program.

•Receives, logs, and distributes all incoming work to the appropriate Sr. Provider Enrollment Specialist.

•Answers telephone, directs calls, and distributes messages.

•Helps obtain outstanding National Provider Identifier (NPI).

•Helps Supervisor prepare reports.

 

 

Job Requirements

Meticulous accuracy.

• Effective oral and written communication skills.

• Minimum of 45-50 WPM typing skills.

• Good Computer skills

• Good decision-making and problem-solving skills.

Education

• Minimum high school diploma or equivalent.

Experience

• One year of experience in a business setting with fundamental clerical skills, preferably with medical or provider enrollment background.

PHYSICAL / ENVIRONMENTAL DEMANDS:

 General office environment.

 Overtime may be required and can be mandated by Management.