What are the responsibilities and job description for the Lead Provider Enrollment Coordinator position at TeamHealth?
TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.
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
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.