provider enrollment analyst - Indianapolis, IN, United States - TEKsystems

Description

TekSystems is hiring a Provider Enrollment Analyst for a large healthcare system in Indianapolis

The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of billing providers with government and contracted commercial payers as well as managing the ongoing participation requirements.

Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to identifying and performing root cause analysis to identify enrollment and claim issues.

Job duties include:

• Assist in the full range of Provider Enrollment interaction (includes all actions involved in the process of enrolling with a range of payers (Anthem, Medicare, Medicaid, Delegated which includes up to 40 different payers, and risk based payers (RBMC).
• Respond to enrollment research inquiries, and minimize potential revenue delays or losses
• Identify, research, and resolve claims issues
• Collaborate with other departments to resolve enrollment and claim issues
• Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated
• Maintain working knowledge of workflow, systems, and tools used in the department

Main function of job is pulling reports out of systems and tracking it into Excel. Excel is REALLY important. Small detail misses will cause errors in enrollment-means miss millions of dollars, provider cannot write prescriptions, etc.


MUST HAVE:

• 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.)
• Healthcare experience MUST be back office (not registration, customer service, scheduling, etc)
• Ability to navigate through multiple systems at once while on the computer

PREFERRED:
1+ year of medical billing experience (do they understand copays and deductables and medical terminology, etc.)


About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.

We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.

As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.