Returning Candidate?

Provider Enrollment Specialist

Provider Enrollment Specialist

Job ID 
2018-1877
Location 
US-FL-Maitland
Metro Area 
..
Function 
Revenue Cycle Management
Employment Status 
Full-Time

More information about this job

Overview

U.S. Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates.  By joining our team you will participate in a highly collaborative and dynamic environment.  As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team.  We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.

 

We are proud of our inclusive people culture that supports our associates to perform at their best.  USAP is an equal opportunity employer.  Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package. 

 

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):

  • Submit and process initial enrollment applications and re-enrollment applications to payers as assigned by leadership.
  • Maintain the accuracy of provider NPPES and CAQH accounts.
  • Populate and prepare enrollment applications for providers.
  • Responsible for following up on outstanding enrollment information and/or paperwork from providers.
  • Review provider applications for accuracy and completeness.
  • Track and following up on enrollment or re-enrollment applications with payers until provider enrollment or re-enrollment is completed.
  • Responsible for provider file maintenance with the payers, including but not limited to provider name changes, license updates, required attestations and any other payer required data.
  • Establish and maintain professional working relationships with billing staff and work as a team to resolve billing issues related to enrollment in a timely manner.
  • Work reports that identify enrollment issues distributed by leadership.
  • Complete reports provided by leadership by assigned deadlines.
  • Notify billing and appropriate key employees once provider numbers are received.
  • Assist with roster reconciliation projects with payers.
  • Demonstrate exemplary customer service to our payers, providers and other USAP employees.
  • Meet targeted enrollment deadlines.
  • Communicate risk to leadership as soon as identified.
  • Consistently meet USAP set work standards.
  • Proficiently use the USAP credentialing system as instructed by leadership.
  • Maintain the USAP credentialing database as it pertains to enrollment.
  • Contribute to the advancement and growth of the department.
  • Performs other duties as requested.
  • Adhere to the USAP Standards of Conduct

Adhere to USAP policy and procedures

Qualifications

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

 

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

  • Knowledge of organization’s policies, procedures and systems.
  • Have a working knowledge of the enrollment process and requirements.
  • Knowledge of Medicare and Medicaid enrollment standards.
  • Knowledgeable with NPPE website and NPI accounts.
  • Skilled in computer applications including MS Word, MS Excel, database administration and scanning applications.
  • Have excellent customer service skills.
  • Have strong organizational and time management skills.
  • Ability to be flexible to change and growth.
  • Ability to work effectively in a fast paced, high volume environment.
  • Demonstrate ethical problem-solving skills.
  • Skilled in professional verbal, written and email communications.
  • Ability to work effectively with staff, physicians and external customers.
  • Ability to work independently with limited supervision.
  • Communicate professionally with the public.
  • Ability to independently and consistently execute job responsibilities within a reasonable timeframe.
  • Ability to read, write, and speak English

 

EDUCATION/TRAINING/EXPERIENCE:

  • High School graduate or equivalent. AS or B.S. degree in business administration or health care related field is a plus.
  • One to Two years of enrollment experience including Medicare and Medicaid experience.

 

PHYSICAL REQUIREMENTS:

  • Requires prolonged sitting, some bending, stooping and stretching
  • Must possess sufficient eye-hand coordination/manual dexterity to operate a keyboard, photocopier, telephone, calculator and other office equipment
  • Required normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and evaluations. 
  • Requires dexterity to type at least 35 wpm.

 

WORKING CONDITIONS (environment and safety):

  • Work performed in office environment.
  • Involves frequent contact with colleagues, clinical providers, and hospital medical staff service departments.
  • Work may be stressful at times.
  • Interaction with others is frequent and often disruptive.

 

Need help finding the right job?

We can recommend jobs specifically for you! Click here to get started.