Provider Enrollment Coordinator - Out of State Enrollment - Remote
TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.
JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Out of State Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various Out-of-State Medicaid carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to and preparing/submitting a completed payer application.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Prepare and submit completed enrollment applications to applicable Out-of-State Medicaid agencies. This will include a mixture of group level and provider level applications.
Ensure enrollment activities comply with state-Medicaid regulations and internal company policies
Serve as the main point of contact for Out-of-State Medicaid agencies and providers specific to these enrollment approach
Ability to collaborate and update team members when compliance updates with the Out-Of-State Medicaid enrollment processes are identified
Work directly with our clinician population to secure any required documents/signatures in order to complete enrollment request
Responsible for payer follow-up to secure application approval dates
Adherence to data entry/document management protocols
Timely resolution of application deficiencies
Responsible for payer research as needed
Review exception reports from management to prioritize critical issues
Update leadership team when payers request additional forms or updating PE forms
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.
[Link available when viewing the job]
Apply Now
JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Out of State Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various Out-of-State Medicaid carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to and preparing/submitting a completed payer application.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Prepare and submit completed enrollment applications to applicable Out-of-State Medicaid agencies. This will include a mixture of group level and provider level applications.
Ensure enrollment activities comply with state-Medicaid regulations and internal company policies
Serve as the main point of contact for Out-of-State Medicaid agencies and providers specific to these enrollment approach
Ability to collaborate and update team members when compliance updates with the Out-Of-State Medicaid enrollment processes are identified
Work directly with our clinician population to secure any required documents/signatures in order to complete enrollment request
Responsible for payer follow-up to secure application approval dates
Adherence to data entry/document management protocols
Timely resolution of application deficiencies
Responsible for payer research as needed
Review exception reports from management to prioritize critical issues
Update leadership team when payers request additional forms or updating PE forms
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.
[Link available when viewing the job]
Apply Now