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Job Requirements of Provider Enrollment Maintenance Coordinator:
QUALIFICATIONS / EXPERIENCE:
- Ability to operate effectively in a fast-paced environment
- Ability to make decisions and solve problems
- Demonstrate a systematic approach in carrying out assignments; methodical in planning and performing; effective prioritization required
- Display a high standard of professional conduct including punctuality, job consciousness, and dependability
- Perform with a high degree of accuracy; give meticulous attention to detail
- Work harmoniously and effectively across all levels of the business; cooperate with others for the benefit of the organization - Ability to work in a team environment
- Ability to meet challenging deadlines; ability to function in stressful situations
- Communicate clearly, concisely, positively and professionally
- Show genuine interest in the continuous development of professional and technical skills
- High school diploma or equivalent; some college preferred
- One year of experience with health care or comparable industry, preferably with medical or provider enrollment background.
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Provider Enrollment Maintenance Coordinator
TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.
What we Offer:
Career Growth Opportunities
Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
401K (Discretionary matching funds available)
Generous PTO
8 Paid Holidays
Equipment Provided for Remote Roles
This is a REMOTE position!
JOB DESCRIPTION OVERVIEW:
The Provider Enrollment Maintenance Coordinator is responsible for proactively completing all provider enrollment maintenance activities. This position is responsible for minimizing any lapses in clinician enrollment and write-offs/holds related to maintenance activities. This position is responsible for verifying maintenance requirements, ensuring the centralized payer library is current, and communicating updates to management and colleagues.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Complete all maintenance activities including research, recording, communication & information sharing, submission, confirmation, and follow-up
- Maintenance activities include, but are not limited to:
- Medicare & Medicaid revalidations
- Re-credentialing for all payers
- Maintenance of CAQH clinician profile re-attestations
- Submission of clinician updates e.g. licensure and certificates of insurance to payers
- Completion of any/all requests for data validation from payers and internal customers
- Manage ongoing roster submissions, review, and data entry
- Collaborate with colleagues to resolve enrollment-related denials associated with maintenance
- Maintains organized group and individual provider files.
- Collaborate with analyst and/or HCFS to proactively monitor enrollment status for payers that require claim activity to remain participating
- Partner with the Lead to communicate any application, roster, or payer-required form updates Application Generation Software
- Partner with the Manager to communicate any payer maintenance activity updates required in the payer library
- Occasional overtime and/or participation in special projects may be required
- Other duties as assigned
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
- Ability to operate effectively in a fast-paced environment
- Ability to make decisions and solve problems
- Demonstrate a systematic approach in carrying out assignments; methodical in planning and performing; effective prioritization required
- Display a high standard of professional conduct including punctuality, job consciousness, and dependability
- Perform with a high degree of accuracy; give meticulous attention to detail
- Work harmoniously and effectively across all levels of the business; cooperate with others for the benefit of the organization - Ability to work in a team environment
- Ability to meet challenging deadlines; ability to function in stressful situations
- Communicate clearly, concisely, positively and professionally
- Show genuine interest in the continuous development of professional and technical skills
- High school diploma or equivalent; some college preferred
- One year of experience with health care or comparable industry, preferably with medical or provider enrollment background.