Provider Enrollment Associate

Rochester Regional Health
89d$18 - $21

About The Position

The Provider Enrollment Associate will work collaboratively and maintain a professional working relationship with Payor Representatives, RGHS Information Technology, and Billing Supervisors to ensure prompt and continued enrollment, ensuring reimbursement of all services rendered by clinical team members.

Requirements

  • Effective 4/1/21: NYS Notary Public required within one year (Per Diem employees excluded).
  • Notary Public required 1 year from date of hire (Per Diem employees excluded).

Nice To Haves

  • Associates degree preferred.
  • Professional, positive and energetic attitude with excellent communication skills.
  • Proficient PC skills in Microsoft Office products.
  • Must be highly organized and have an extreme attention to detail.

Responsibilities

  • Provide accurate and timely enrollment services in a prompt, professional, efficient and courteous manner, displaying STARS behavior, to RGHS employed providers and team members.
  • Offer efficiency and solutions to ensuring the accuracy of provider data and verification while maintaining files in payor enrollment software.
  • Review and validate professional qualifications of providers to guarantee completion of provider applications.
  • Collect and submit all applications timely and supporting documentation needed for submission to contracted insurance payors.
  • Complete and review provider applications for submission, protecting the confidentiality of private information contained within the applications, according to department policy.
  • Prepare and maintain reports and summaries of enrollment activities for managers.

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What This Job Offers

Job Type

Full-time

Education Level

Associate degree

Number of Employees

5,001-10,000 employees

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