What are the responsibilities and job description for the Provider Enrollment Specialist position at Eye Care Partners?
EyeCare Partners is the nations leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com .
Job Title : Provider Enrollment Specialist
SUMMARY
The Revenue Cycle Management (RCM) provider enrollment specialist is responsible for determining if a patient is eligible for health care services.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Required to evaluate customer insurance to determine possible treatment options.
- Make suggestions for different treatment programs based on the patients insurance coverage and obtaining patient records.
- Credential Providers to be in network with insurance plans.
- Organize Provider Information for multiple practices.
- Communicate closely with providers and offices regarding credentialing.
- Update provider Information.
- Maintain Excel Spreadsheets and reporting .
- Follow up with Insurance Companies regarding network status.
QUALIFICATIONS
EDUCATION AND / OR EXPERIENCE
LICENSES AND CREDENTIALS
SYSTEMS A ND TECHNOLOGY
NOTE : Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.
Physical Requirements :
While performing the duties of this job, the employee is regularly required to talk and hear. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must frequently lift and / or move up to 10 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
If you need assistance with this application, please contact [phone removed]
EyeCare Partners is an equal opportunity / affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly only resumes submitted through this website will be considered.
Employment Type : Full Time
