3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
3+ years of provider enrollment experience
In-depth knowledge of provider enrollment requirements for Government agencies, payor organizations, and insurance regulations
Requirements:
Ensure the accuracy and timeliness of updates to internal databases.
Handle confidential information with integrity and maintain data in internal and external databases.
Cultivate professional interactions with co-workers, clients, providers, and vendors.
Respond promptly to inquiries and provide clear explanations of requirements.
Job description
Our client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Provider Enrollment Coordinator for their Remote location.
Responsibilities:
The Provider Enrollment Coordinator is dedicated to ensuring the accuracy and timeliness of updates to internal databases, prioritizing the integrity of the provider file.
This role requires handling confidential information with the utmost integrity and involves the meticulous maintenance of data in both internal and external databases, serving the purpose of provider and payer enrollment.
Cultivate professional and effective interactions with co-workers, clients, providers, and vendors.
Respond promptly to inquiries, providing clear and comprehensive explanations of requirements.
Maintain continuous and open communication with payer representatives to ensure the appropriate enrollment of providers.
Exercise discretion and confidentiality when handling sensitive information.
Act as the primary point of contact for providers navigating the enrollment process, offering guidance and support.
Keep application information up to date in the company system, ensuring accuracy and completeness.
Manage information and documentation with a focus on confidentiality and security.
Meet and exceed required SLA and productivity standards.
Strive for efficiency and effectiveness in all aspects of the provider enrollment process.
Release individual claims for providers after thorough review and independently resubmit claims with necessary corrections.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Requirements:
High School Diploma or equivalent
3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
3+ years of provider enrollment experience
In-depth knowledge of provider enrollment requirements for Government agencies, payor organizations, and insurance regulations
Proficient in rapidly acquiring proficiency in new software programs
Substantial experience in dealing with Medicare, Commercial Healthcare insurance, and Medicaid agencies
Demonstrated ability to effectively prioritize and organize multiple tasks
Exceptional attention to detail
Proven ability to thrive in a team-oriented environment, coupled with excellent organizational, writing, and oral communication skills
Competency in Spread-sheet Design and advanced use of Excel
Practical experience with essential computer software, including Word, Excel, and Outlook.
