Demo

Provider Enrollment Associate

Rochester Regional Health Careers
Rochester, NY Full Time
POSTED ON 3/7/2025
AVAILABLE BEFORE 5/6/2025

SUMMARY

Work collaboratively and maintain a professional working relationship with Payor Representatives, RGHS Information Technology, and Billing Supervisors to ensure prompt and continued enrollment, ensuring reimbursement of all services rendered by clinical team members.

STATUS: Full Time

LOCATION: Riedman Campus

DEPARTMENT: Patient Financial Service

SCHEDULE: Monday – Friday

ATTRIBUTES

•Professional, positive and energetic attitude with excellent communication skills.
•Proficient PC skills in Microsoft Office products.
•Must be highly organized and have an extreme attention to detail.
•Associates degree preferred or an equivalent combination of education and work experience preferably in a healthcare setting.

Required Licensure/Certification Skills

  • NYS Notary Public required within one year

RESPONSIBILITIES

  • Provide accurate and timely enrollment services in a prompt, professional, efficient and courteous manner, displaying STARS behavior, to RGHS employed providers and team members.
    •Offers efficiency and solutions to ensuring the accuracy of provider data and verification while maintaining files in payor enrollment software.
    •Review and validate professional qualifications of providers to guarantee completion of provider applications.
    •Collect and submit all applications timely and supporting documentation needed for submission to contracted insurance payors.
    •Complete and review provider applications for submission, protecting the confidentiality of private information contained within the applications, according to department policy.
    •Prepare and maintain reports and summaries of enrollment activities for managers.

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $18.50 - $21.25

Salary : $19 - $21

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