Provider Enrollment Specialist

4 weeks ago

Englewood, United States Posterity Health Full time
Job DescriptionJob Description

Overview:

Posterity Health focuses exclusively on evaluating and treating individuals for Male Fertility success. We enable couples having trouble conceiving to proactively assess and treat male factor conditions. We have assembled a team of national experts to support men from initial conception planning to life impacting decisions.

Today 1 in 8 couples has trouble conceiving and in more than 50% of the cases a male factor is involved. Male fertility issues frequently go undiagnosed and untreated. Just as all women are treated by physicians with specialized gynecologic training and expertise, we believe men deserve treatment from male fertility specialists. Our goal is to proactively work with men to facilitate the birth of a healthy child as easily and inexpensively as possible

Posterity Health offers male fertility expertise through a combination of virtual visits, at home diagnostics, and in-person consults. We partner with Fertility Centers, OB/GYNS and Primary Care Providers to unify the experts. Perhaps you are a passionate expert to help us achieve this important mission.

Position Summary:

Responsible for the Provider Enrollment process of physician and allied health providers.

Responsibilities:

  • Supports the credentialing staff by performing the provider enrollment process of new and existing providers.
  • Complete and accurately submit provider payer enrollment applications, spreadsheets, and letters.
  • Follow up with payers to ensure timely enrollment, re-enrollment and participation.
  • Data entry of all provider information into the Credentialing Spreadsheets.
  • Handle incoming requests from physicians, payers, and other agencies.
  • Assist with resolving any provider enrollment issues, questions or concerns and/ or expedite enrollment processes.
  • Maintain provider practice locations and the CAQH database.
  • Respond to all inquiries regarding provider enrollment.
  • Communicates provider enrollment status to various departments.
  • Assist CEO with insurance payer contracts.
  • Other responsibilities as assigned.

Experience and Education:

  • 3 or more years of provider enrollment experience required.
  • Experience in a medical practice setting preferred.
  • High School Diploma or equivalent.

Skills:

  • Knowledge of the provider enrollment process.
  • Organizational skills and great attention to detail.
  • Ability to develop and maintain effective relationships with physicians, staff, leadership and external entities.
  • Proficient with Microsoft Word, Excel, CAQH, and external databases.
  • Good decision-making and problem-solving skills.
  • Confidentiality.
  • Ability to work independently.
  • Ability to work under pressure.

Location: Centennial, Colorado

Wage: $24 to $26 per hour depending on experience

Job Type: Full-Time, 40 hours a week

Job Schedule: Between 8a to 6p, weekdays

Skills: Customer Service, Insurance contracting

Benefits: Health, Dental & Vision benefits

Work Settings: Office, Start-up (not a remote position)



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