What are the responsibilities and job description for the Provider Enrollment Coordinator - Berkshire Management Services, Provider Enrollment - Shift: Days, 40 Hrs position at BHS Management Services?
Job Summary
The Provider Enrollment Coordinator facilitates the credentialing/recredentialing process for all practitioners and non-BHS practitioners for Berkshire Health Systems. The Credentialing Coordinator gathers and organizes practitioner information regarding specialty, education, state licensure, DEA registration, work history, practice detail, malpractice, hospital privileges, and other documentation as needed. The Provider Enrollment Coordinator will complete and file all necessary forms, documents and contracts required by individual insurers that BHS participates with. The provider Enrollment Coordinator works independently with regulatory agencies, insurers, hospitals, practitioners, and BHS employees so that providers are credentialed in a quick and efficient manner to ensure payment for services rendered.
Experience
- Minimum of three years' experience in either reimbursement, credentialing, and/or billing within a health care setting required.
Education
- High School Diploma required.
- Associate's degree Preferred.
Additional Requirements
- Excellent interpersonal and organizational skills.
- Proven ability to analyze and present data.
- Ability to plan, implement, and evaluate processes.
- Self-motivated.
- Ability to manage deadlines.
- Ability to prioritize and problem solve numerous tasks and demands.
- Ability to manage confidential and sensitive information.
- Ability to work independently.
- Demonstrated ability to read and follow written/verbal direction.
- Demonstrated conflict resolution skills.
- Demonstrated ability to adapt to fast paced multifaceted position.
- Strong telephone skills.
- Computer proficiency- Microsoft Office Products and provider enrollment software.
Schedule
- Mon-Fri
- 8am-4:30pm
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
