Provider Enrollment Analyst

TEKsystems•Indianapolis, IN

8d•Remote

About The Position

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. This is a contract position for a large healthcare organization in Indiana, and candidates must reside in Indiana to qualify for the role.

Requirements

Ability to understand legal entities as related to Tax ID’s (TINs), Authorized officials AO’s which, are typically those at the highes
Consistently demonstrate skills in organization, prioritization, and professionalism to ensure timely enrollments
Understanding of the legal entity type, pay to information requirements/addresses and reasons behind the need to be correct in identify
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
MUST RESIDE IN INDIANA TO QUALIFY FOR ROLE

Nice To Haves

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

Responsibilities

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