Lead Provider Enrollment Coordinator - Nashville, United States - TeamHealth

Description

Join a team of dynamic, results oriented professionals
Named among "The World's Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among "Great Places to Work" by Becker's Hospital Review
Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
401K program (Discretionary matching funds available)
Employee Assistance Program
Referral Program
Dental plans & Vision plans
GENEROUS Personal time off
Eight Paid Holidays per year

JOB DESCRIPTION OVERVIEW:

Under supervision of the Provider Enrollment Director, the Lead Provider Enrollment Coordinator supports the day-to-day activities of the provider enrollment team in alignment with department and organizational goals.

Provider Enrollment is an integral part of a successful Revenue Cycle Operation and the Organization's ability to meet financial goals, impact patient satisfaction, and client retention.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Serve as resource for Enrollment Associates; field and triage inquiries and escalate issues to Manager/Director as appropriate
With support and guidance from the NPE team and oversight from the Manager and Director, conduct Associate Trainings activities including onboarding of new/transferred Associates, in-service trainings, and re-education as appropriate
QA PE processes (adherence to timeframes and proper execution of enrollment steps), group/individual applications, and rosters. Provide direct feedback and/or re-education to Enrollment Associates as errors are identified; report performance trends to Manager/Director
Monitor accuracy of applications in Enrollment Software and submit/manage changes as needed
Complete payer research for new payers and ensure guidelines are known and train department members on same. Participate in start-ups specifically to assist with payer research (payer requirements, submission method, obtaining current forms, etc)
Submit, track, follow up on need for and requests of retroactive considerations/appeals
Support ad hoc project efforts by tracking progression, monitoring Milestones, and alerting project members of impending/past due deliverables
Identify potential process improvements throughout all enrollment activities; implement process improvements as determined by Director
Serve as back up to PE Managers and Enrollment Associates as needed
Identify/coordinate team building activities to foster team culture/cohesion
Other duties as assigned
Job Requirements


QUALIFICATIONS / EXPERIENCE:
1-3+ years supervisory/lead experience preferred.
3+ years of provider enrollment/revenue cycle experience preferred.
Demonstrated ability to work effectively across the revenue cycle, operations, and IT to promote positive change.
Excellent organizational abilities.
Ability to prioritize tasks and projects.
High degrees of judgement and independent decision-making, analytical evaluation, critical thinking, and problem solving skills.
Ability to maintain professionalism and composure.
Excellent written and oral communication skills.
Ability to multi-task and prioritize workload in fast paced, evolving environment.

Ability to work independently and remotely and exercise sound judgement related to when to act independently and when to escalate issues.

Proficient with Microsoft software.

PHYSICAL / ENVIRONMENTAL DEMANDS:
General office environment.
Job performed in a well-lighted, modern office setting;
Occasional lifting/carrying (10 pounds or less);
Prolonged sitting; with prolonged work in a computer/PC;
Occasional work in evenings and on weekends;

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