- Essential duties and responsibilities:
- Complete and accurately submit provider payor enrollment applications, spreadsheets, and letters
- Research & keep current on payer, hospital & office-based guidelines as needed to ensure processes are accurate. Review workflows to identify accuracy, efficiency, and best practices
- Follow up with providers and payors to ensure timely enrollment and participation
- Review and follow up on weekly snapshot billing reports
- Accurate data entry of all provider information into the Credentialing Database
- Handling incoming requests from physicians, payors, and other agencies
- Obtain confirmations, save to Cactus, and notify billing
- Complete online provider CAQH re-attestations
- Serve as a resource to internal departments, providers, and outside agencies
- Responsible for weekly/monthly reporting, administrative duties, and department projects as assigned.
- Travel between NAPA sites for training and collaboration and other clinical work locations to meet with providers to obtain signatures on required documents
- Other responsibilities as assigned
- Positive and professional attitude
- Ability to work with all levels of associates from entry level to upper-level management
- Experience working in an office setting, preferably in the health care industry
- Strong follow up, interpersonal and communication skills.
- Ability to work independently or in a group setting
- Ability to multi-task and prioritize in a fast passed environment
- Must be a self-starter and a team player who enjoys providing the highest level of customer service.
- Previous credentialing or enrollment experience a plus
- Experience working with databases, and ability to create and manipulate spreadsheets
- Experience with Microsoft Office (Outlook, Excel & Word)
- Local & distance travel required.
High School or equivalent, college degree preferred
Total Rewards
Salary: $ per hour
Generous benefits package, including:- Paid Time Off
- Health, life, vision, dental, disability, and AD&D insurance
- Flexible Spending Accounts/Health Savings Accounts
- 401(k)
- Leadership and professional development opportunities
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Provider Enrollment Specialist I - Melville, United States - North American Partners In Anesthesia
Description
Melville,NY - USA
Position Requirements
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
