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Provider Enrollment Representative in Tamarac, FL at TeamHealth

Date Posted: 8/30/2018

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

 ◊ 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.