Job Description
Job Description
Purpose : The Provider Enrollment Assistant assists the Enrollment Coordinator and Provider
Enrollment Specialist in ensuring that all documents are on file and health care providers are
properly enrolled with payers so that claims filed for payment are not denied due to
enrollment-related errors or omissions.
Responsibilities and Duties :
- Prepare and submit enrollment applications for physicians and allied health
professionals and facilities with government and third-party payers
Monitor and coordinate activity regarding new enrollments to ensure that all providersare enrolled with all assigned payers
Process and monitor hospital privilege applicationsUpdate provider directory for changes received from insurersTroubleshoot and resolve payer issues related to enrollment / credentialingMaintain each provider’s CAQH account (Council for Affordable Quality Healthcare) toensure continuous accuracy
Coordinate provider on-boardingAct as a liaison between insurance companies, hospitals, and other facilities and partiesregarding enrollment issues
Ensure that all required insurance credentialing documentation on file is currentCollaborate with the the Enrollment Coordinator on problem solving, continuousimprovement, and issue resolution
Maintain a detailed log / spreadsheet of all pending and completed tasks and enrollmentsCommunicate enrollment status with supervisor on a regular basisAssist with special projects and information requestsAttributes Required :
Work Ethic : an intrinsic drive to excelIntegrity : an indisputable reputation for honestyValues : demonstrated passion for Cahaba Medical Care’s Core Cultural CompetenciesConfidentiality : disciplined sensitivity regarding confidential informationSkills and Qualifications :
Required
Meticulous attention to detailsAbility to manage workload so that tasks and projects are completed on scheduleEffectiveness in communicating with and influencing action from providers, clinicians,and professionals in the insurance industry
Proficiency with laptop functions, electronic spreadsheets and documents (GoogleSheets and Google Docs), and internet interactions
Affinity for both simple tasks and complex projectsPreferred
Familiarity with enrollment and credentialing processesExperience in enrolling healthcare providers with various payersWork Environment :
Cahaba Medical Care is a nicotine-fee organization. Smoking and use of electroniccigarettes is prohibited anywhere on a Cahaba Medical Care campus. Employees who
use nicotine are not eligible for full employee coverage of health insurance premiums.
Cahaba Medical Care requires adherence to TB screening and immunization policies forits staff, in accordance with CDC recommendations for healthcare workers.
Cahaba Medical Care’s administrative functions are performed in a professional officeenvironment where appropriate business casual attire is required and appropriate safety
protocols are mandated.
