[Remote-Position] Sr. Provider Enrollment Research Representative
We're on a mission and need a skilled Sr. Provider Enrollment Research Representative! We have an opening at our office in Remote. This position requires a strong and diverse skillset in relevant areas to drive success. We offer a clear and simple compensation of a competitive salary for this position.   TeamHealth is named among the Â150 Great Places to Work in Healthcare by BeckerÂs Hospital Review and has ranked three years running as ÂThe WorldÂs Most Admired Companies by FORTUNE Magazine as well as one of AmericaÂs 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
 Career Growth Opportunities
 Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
 401K program (Discretionary matching funds available)
 GENEROUS Personal time off
 Eight Paid Holidays per year
 Quarterly incentive plans
This is a fully remote opportunity to support the Akron, OH Billing Center
JOB DESCRIPTION OVERVIEW:
The Sr. Provider Enrollment Research Representative reports to the Manager, Billing System Support/PER and is responsible for monitoring workflow trends and communicating to the Manager, Billing System Support/PER. The Provider Enrollment Research Senior is a resource for their assigned team and is responsible for training, escalation views in ETM (Enterprise Task Manager) and auditing of staffÂs quality and production goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
 Review Rejection PIT (Point in Time) Report for Open and Pended invoices for problematic areas.
 Review Rejection Outcome Report to Verify Invoices are worked properly.
 Review Provider hold Reports.
 Work and maintain ETM (Enterprise Task Manager) escalation view
 Assist assigned team as needed to reach Monthly Metrics and Goals.
 For each assigned team member review work performed, prepare QA reports and communicate to each team member.
 Responsible for training new employees and monitoring new employee production and QA. Reporting any concerns to the Manager, Billing System Support/PER.
 Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that are impacting claims.
 Process Non-Routine Write-off adjustments as needed.
 Ensures appeals and provider related issues are followed up on timely for resolve.
 Communicate with the Manager, Billing System Support/PER on the progress of projects and assignments and progress toward completion on a timely basis.
 Other duties as assigned by the Manager, Billing System Support/PER.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
 Thorough knowledge of the revenue cycle
 Thorough knowledge of healthcare reimbursement guidelines
 Computer literate, intermediate Excel skill level
 Able to work in a fast-paced environment
 Good organizational and analytical skills
 Good oral and written communication skills
 Ability to work independently
 Ability to lead assigned team
 High school diploma or equivalent
 Minimum 3 years previous medical billing experience required with emphasis on research and claim denials
SUPERVISORY RESPONSIBILITIES:
 Provides departmental leadership through training, quality audits, and development
 Assists Manager, Billing System Support/PER to ensure that Analysts are performing assigned duties and adhering to billing center/departmental policies, procedures and Code of Conduct.
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Job Snapshot
Employee Type
Full-Time
Location
Akron, OH (Remote)
Job Type
Health Care, Insurance
Experience
Not Specified
Date Posted
12/17/2024 Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now
 Career Growth Opportunities
 Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
 401K program (Discretionary matching funds available)
 GENEROUS Personal time off
 Eight Paid Holidays per year
 Quarterly incentive plans
This is a fully remote opportunity to support the Akron, OH Billing Center
JOB DESCRIPTION OVERVIEW:
The Sr. Provider Enrollment Research Representative reports to the Manager, Billing System Support/PER and is responsible for monitoring workflow trends and communicating to the Manager, Billing System Support/PER. The Provider Enrollment Research Senior is a resource for their assigned team and is responsible for training, escalation views in ETM (Enterprise Task Manager) and auditing of staffÂs quality and production goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
 Review Rejection PIT (Point in Time) Report for Open and Pended invoices for problematic areas.
 Review Rejection Outcome Report to Verify Invoices are worked properly.
 Review Provider hold Reports.
 Work and maintain ETM (Enterprise Task Manager) escalation view
 Assist assigned team as needed to reach Monthly Metrics and Goals.
 For each assigned team member review work performed, prepare QA reports and communicate to each team member.
 Responsible for training new employees and monitoring new employee production and QA. Reporting any concerns to the Manager, Billing System Support/PER.
 Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that are impacting claims.
 Process Non-Routine Write-off adjustments as needed.
 Ensures appeals and provider related issues are followed up on timely for resolve.
 Communicate with the Manager, Billing System Support/PER on the progress of projects and assignments and progress toward completion on a timely basis.
 Other duties as assigned by the Manager, Billing System Support/PER.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
 Thorough knowledge of the revenue cycle
 Thorough knowledge of healthcare reimbursement guidelines
 Computer literate, intermediate Excel skill level
 Able to work in a fast-paced environment
 Good organizational and analytical skills
 Good oral and written communication skills
 Ability to work independently
 Ability to lead assigned team
 High school diploma or equivalent
 Minimum 3 years previous medical billing experience required with emphasis on research and claim denials
SUPERVISORY RESPONSIBILITIES:
 Provides departmental leadership through training, quality audits, and development
 Assists Manager, Billing System Support/PER to ensure that Analysts are performing assigned duties and adhering to billing center/departmental policies, procedures and Code of Conduct.
https://www.teamhealth.com/california-applicant-privacy-notice/
Get job alerts by email. Sign up now!
Job Snapshot
Employee Type
Full-Time
Location
Akron, OH (Remote)
Job Type
Health Care, Insurance
Experience
Not Specified
Date Posted
12/17/2024 Apply Job! Ready to Apply?If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application.
Apply Now