Provider Enrollment Assistant

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 providers
  
  

are enrolled with all assigned payers

• Process and monitor hospital privilege applications
• Update provider directory for changes received from insurers
• Troubleshoot and resolve payer issues related to enrollment/credentialing
• Maintain each provider's CAQH account (Council for Affordable Quality Healthcare) to
  
  

ensure continuous accuracy

• Coordinate provider on-boarding
• Act as a liaison between insurance companies, hospitals, and other facilities and parties
  
  

regarding enrollment issues

• Ensure that all required insurance credentialing documentation on file is current
• Collaborate with the the Enrollment Coordinator on problem solving, continuous
  
  

improvement, and issue resolution

• Maintain a detailed log/spreadsheet of all pending and completed tasks and enrollments
• Communicate enrollment status with supervisor on a regular basis
• Assist with special projects and information requests
  
  

Attributes Required

• Work Ethic: an intrinsic drive to excel
• Integrity: an indisputable reputation for honesty
• Values: demonstrated passion for Cahaba Medical Care's Core Cultural Competencies
• Confidentiality: disciplined sensitivity regarding confidential information
  
  

Required

Skills and Qualifications

• Meticulous attention to details
• Ability to manage workload so that tasks and projects are completed on schedule
• Effectiveness in communicating with and influencing action from providers, clinicians,
  
  

and professionals in the insurance industry

• Proficiency with laptop functions, electronic spreadsheets and documents (Google
  
  

Sheets and Google Docs), and internet interactions

• Affinity for both simple tasks and complex projects
  
  

Preferred

• Familiarity with enrollment and credentialing processes
• Experience in enrolling healthcare providers with various payers
  
  

Work Environment

• Cahaba Medical Care is a nicotine-fee organization. Smoking and use of electronic
  
  

cigarettes 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 for
  
  

its staff, in accordance with CDC recommendations for healthcare workers.

• Cahaba Medical Care's administrative functions are performed in a professional office
  
  

environment where appropriate business casual attire is required and appropriate safety

protocols are mandated.