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Job Requirements of Provider Enrollment Research Representative:
QUALIFICATIONS / EXPERIENCE: High school diploma or equivalent required.
Demonstrated knowledge of physician billing.
Excellent oral and written communication.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
SUPERVISORY RESPONSIBILITIES:
None
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Occasional lifting/carrying (20lbs or less)
Moderate stress
Prolonged sitting
Prolonged work on a PC/computer
Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone,
10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform
repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond
a regular schedule and/or more than five days per week. Overtime may be required and can
be mandated by Management.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential
function of every position. All employees must be able to work with others beyond giving and
receiving instructions. This includes getting along with co-workers, peers and management
without exhibiting behavior extremes. Job functions may require personal leadership skills
such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as
responding appropriately to job performance feedback from the supervisor. Additionally, the
information contained in this job description has been designated to indicate the general nature
and level of work performed by employees within this classification. It is not designed to
contain or be interpreted as a comprehensive inventory of all duties, responsibilities and
qualifications required of employees assigned to this position.
Do you meet the requirements for this job?
Provider Enrollment Research Representative
TeamHealth
Knoxville, TN (Remote)
Full-Time
JOB DESCRIPTION OVERVIEW: This position is primarily responsible for working rejection codes linked to Provider Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely and efficient completion.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.
Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.
Report any errors or problems that affect claims from receiving payment.
Report any claim issues identified.
Report any carrier issues identified.
Maintain knowledge of ETM and carrier requirements.
Participate in weekly meeting with Manager.
Performs other duties and assignments as requested.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.
Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.
Report any errors or problems that affect claims from receiving payment.
Report any claim issues identified.
Report any carrier issues identified.
Maintain knowledge of ETM and carrier requirements.
Participate in weekly meeting with Manager.
Performs other duties and assignments as requested.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
High school diploma or equivalent required.
Demonstrated knowledge of physician billing.
Excellent oral and written communication.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
SUPERVISORY RESPONSIBILITIES:
None
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Occasional lifting/carrying (20lbs or less)
Moderate stress
Prolonged sitting
Prolonged work on a PC/computer
Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone,
10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform
repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond
a regular schedule and/or more than five days per week. Overtime may be required and can
be mandated by Management.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential
function of every position. All employees must be able to work with others beyond giving and
receiving instructions. This includes getting along with co-workers, peers and management
without exhibiting behavior extremes. Job functions may require personal leadership skills
such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as
responding appropriately to job performance feedback from the supervisor. Additionally, the
information contained in this job description has been designated to indicate the general nature
and level of work performed by employees within this classification. It is not designed to
contain or be interpreted as a comprehensive inventory of all duties, responsibilities and
qualifications required of employees assigned to this position.
High school diploma or equivalent required.
Demonstrated knowledge of physician billing.
Excellent oral and written communication.
Computer literate.
Excellent follow-up skills.
Excellent organizational skills.
SUPERVISORY RESPONSIBILITIES:
None
PHYSICAL / ENVIRONMENTAL DEMANDS:
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Occasional lifting/carrying (20lbs or less)
Moderate stress
Prolonged sitting
Prolonged work on a PC/computer
Prolonged telephone work
This position may require manual dexterity and/or frequent use of the computer, telephone,
10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform
repetitive motions and/or meet production standards to comply with the essential functions.
Also, may require physical and/or mental stamina to work overtime, additional hours beyond
a regular schedule and/or more than five days per week. Overtime may be required and can
be mandated by Management.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential
function of every position. All employees must be able to work with others beyond giving and
receiving instructions. This includes getting along with co-workers, peers and management
without exhibiting behavior extremes. Job functions may require personal leadership skills
such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as
responding appropriately to job performance feedback from the supervisor. Additionally, the
information contained in this job description has been designated to indicate the general nature
and level of work performed by employees within this classification. It is not designed to
contain or be interpreted as a comprehensive inventory of all duties, responsibilities and
qualifications required of employees assigned to this position.
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