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Provider Enrollment Specialist in Knoxville, TN at TeamHealth

Date Posted: 9/5/2019

Job Snapshot

Job Description


Under supervision of the Provider Enrollment Manager, the Provider Enrollment Specialist manages the application process of new and incumbent providers with all applicable commercial payers.


  • Manages the successful completion and submission of provider enrollment applications.
  • Understands specific application requirements for each payer including pre-requisites, forms required, form completion requirements, supporting documentation and regulations
  • Maintains documentation and reporting regarding provider enrollments in process; performs follow-up as necessary
  • Works closely with credentialing staff and member hospitals to expedite completion of forms and requirements including obtaining signatures, locating required documentation, etc.
  • Ensures that established provider IDs and effective dates are communicated to appropriate billing and revenue departments so claims can be processed for submission.
  • Establishes and maintains close working relationships within department and with various departments across organization


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.


◊ 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.


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.