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Provider Enrollment Specialist

2 months ago

Conshohocken, United States Envision Healthcare Full time
Job Description

This entry-level 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. Monday, Wednesday and Thursday will be in the Conshohocken office while Tuesday and Friday you will be able to work remotely.

This position is Monday-Friday. No nights or weekends required

Starting rate for this role is $17.65 with opportunities for growth and advancement.

Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You'll find clinicians and clinical support professionals across the nation who are proud to 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.

Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

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.
Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
  • 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.
Education / Experience:
  • High School Diploma or GED required; Associate's or Bachelor's Degree in Healthcare, Business, Communications, or English is a plus.
  • Database and Excel spreadsheet experience is required.
  • Able to efficiently use computer software applications, i.e., Excel, Word, Outlook, Teams, Zoom.
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Healthcare is an Equal Opportunity Employer.

About Us

Through Envision Physician Services, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first. 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