What are the responsibilities and job description for the Provider Enrollment Coordinator - Remote position at TeamHealth?
External Job Description And Responsibilities
TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.
Job Description Overview
The Provider Enrollment Out of State Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various Out-of-State Medicaid carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to and preparing/submitting a completed payer application.
Essential Duties And Responsibilities
QUALIFICATIONS / EXPERIENCE:
Location
Remote
Working Level
Full-Time
Job Category
Admin-Clerical, Healthcare, Insurance
LinkedIn
Yes
Career Builder
Yes
ID
47334BR
TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.
Job Description Overview
The Provider Enrollment Out of State Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various Out-of-State Medicaid carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to and preparing/submitting a completed payer application.
Essential Duties And Responsibilities
- Prepare and submit completed enrollment applications to applicable Out-of-State Medicaid agencies. This will include a mixture of group level and provider level applications.
- Ensure enrollment activities comply with state-Medicaid regulations and internal company policies
- Serve as the main point of contact for Out-of-State Medicaid agencies and providers specific to these enrollment approach
- Ability to collaborate and update team members when compliance updates with the Out-Of-State Medicaid enrollment processes are identified
- Work directly with our clinician population to secure any required documents/signatures in order to complete enrollment request
- Responsible for payer follow-up to secure application approval dates
- Adherence to data entry/document management protocols
- Timely resolution of application deficiencies
- Responsible for payer research as needed
- Review exception reports from management to prioritize critical issues
- Update leadership team when payers request additional forms or updating PE forms
QUALIFICATIONS / EXPERIENCE:
- HS Diploma or equivalent; Some college preferred
- One year of experience with contracts, legal documents or other health care related work
- Proficient in Microsoft Office applications
- Meticulous accuracy
- Ability to make decisions and solve problems
- Excellent communication skills (verbal and written); Ability to communicate effectively with Providers, Medical Directors and VPOs
- Excellent organizational skills with the ability to prioritize and manage multiple projects
- Ability to meet challenging deadlines; ability to function in stressful situations
- Ability to work in a team environment
- Overtime may be required; Some training and seminar attendance may require overnight travel.
Location
Remote
Working Level
Full-Time
Job Category
Admin-Clerical, Healthcare, Insurance
Yes
Career Builder
Yes
ID
47334BR
