Description
SHIFT: Work From HomeDo you have exceptional customer service and the ability to plan, organize, exercise sound judgment and work well under pressure? Do you demonstrate communication, problem solving skills and the ability to act/decide accordingly? Now is the time to join our team of motivated individuals working to assist with Medicaid Eligibility process of preparing and submitting credentialing applications and supporting documentation for the purpose of enrolling various hospitals with their out of state payers. Ideal candidates will have a steady work knowledge of medical terminology, practices and procedures, as well as laws, regulations, and guidelines. You should also share a passion for our purpose, "To serve and enable those who care for and improve human life in their community."
Does this sound like you? If so, APPLY TODAY. See what makes us a fabulous place to work!
WHAT WE CAN OFFER YOU:
Successfully implements the entire enrollment and credentialing process for clients who request provider enrollment services. Coordinator must maintain timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed, clarify carrier information requirements, and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
Reviews new client packet information received to determine the enrollment issues that need to be addressed.
Coordinates credentialing data needed for enrollment, contracting, and other related purposes. Credentialing data includes but is not limited to the Drug Enforcement Administration (DEA) number, state license number, Board certifications, CV, malpractice insurance, and state insurance form.
Works closely with the facility’s designated representatives to obtain missing documentation for providers pertaining to provider enrollment. Obtains required client signatures and follows up with the carriers on documentation submitted
Maintains provider information via spreadsheets and provider enrollment software including demographics for all providers.
Responds to internal and external inquiries on routine enrollment and contract matters, as appropriate.
Completes EFT authorization documents to enable payment between client and carrier.
Monitors and advises clients on license expirations.
Other duties as assigned.
Qualifications
Education, Training, Experience :
High School diploma or GED required.
1 + years of Provider Enrollment or medical billing experience is preferred.
Expertise in Microsoft software products including Word, Excel, and Outlook.
Must be detail oriented and thorough in order to ensure the complex enrollment packages are complete and correct.
Must be able to communicate well with a wide variety of contacts at all levels of the organization.
Must be able to work cohesively in a team oriented environment and be able to foster good working relationships with others both within and outside the organization.
ABOUT US
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.
We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability
status.
#ParallonBCOM
Notice
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