Practice made perfect

Join Our Talent Network

Provider Enrollment Representative in Tamarac, Florida, US at TeamHealth

Date Posted: 2/16/2020

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:


The Provider Enrollment Rep is responsible for coordinating all necessary provider enrollment applications for billing to various carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to the authorized signer and preparing/submitting a completed payer application. Responsibilities also include completing all CAQH’s and CAQH re-attestations, online applications and re-enrollment applications.


ESSENTIAL DUTIES AND RESPONSIBILITIES:


- Generate “Applications Stopped in House” reports from Teamworks
- Review weekly exception reports from management to prioritize critical issues
- Preparing and sending applications to payers
- Completing online applications/CAQH
- Documenting data in Teamworks
- Requesting IDX# from billing center/IDX maintenance
- Resolving application deficiencies
- Update management when payers request additional forms or updating PE forms
- Train staff on provider enrollment processes
- Partner with Clinician Onboarding Liaison (COL) and Credentials Coordinator (CDR)
- 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


This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.


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.

 

#ZR