PROVIDER ENROLLMENT SPECIALIST I (OFFICE CENTRIC SCHEDULE)
Job description
Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.
Envision’s core values drive continual advancement and ingenuity across the enterprise:
- Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
- Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
- Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
- Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
- Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
- Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging
Benefits
We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.
We currently have an exciting opportunity for an entry-level full-time Provider Enrollment Specialist in the Conshohocken, PA office.
The Provider Enrollment Specialist is responsible for researching and resolving Enrollment issues. In this role, the Specialist will work and maintain various spreadsheets used by multiple departments to maintain providers in the billing system and resolve enrollment claim rejection issues. This position will be considered hybrid with a mix of at home and in office work.
Responsibilities:
- Maintain internal systems to ensure new groups and providers are added to the billing system timely and accurately.
- Maintain internal database of rejected enrollment claims issues. This includes, but is not limited to, research issues, communicate with regional enrollment offices, track and monitor progress, and update billing system to ensure claims are rebilled once issues are resolved.
- Serve as a liaison to regional offices troubleshooting any enrollment issues.
- Consistently work notifications that are received daily regarding providers’ statuses and claims release in the billing system.
- Build knowledge base for payor requirements and forms.
- Develop working knowledge of payor policies for multiple states.
- Adhere to Information Security Policies and ensure Envision is as secure as possible.
- Other duties as assigned.
- Maintain high levels of organization while being extremely focused on detail.
- Able to consistently meet time-sensitive deadlines and multi-task in a changing healthcare environment.
- Excellent written and communication skills.
- Able to prioritize projects, and troubleshoot and problem solve issues as they arise.
- Capable of maintaining composure and professionalism under circumstances that may at times be stressful.
- High School Diploma or GED required; Associate's or Bachelor's Degree in Healthcare, Business, Communications, or English preferred.
- Database and Excel spreadsheet experience.
- Able to efficiently use computer software applications, i.e., Excel, Word, Outlook, Teams, Zoom.
www.arclintfl.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.arclintfl.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, www.arclintfl.com is the ideal place to find your next job.