Provider Enrollment Representative

Northwell • Village of New Hyde Park, NY

7d • $44,450 - $69,340 • Remote

About The Position

Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and receiving related correspondence; assisting in resolving denials or rejections; ensuring proper payment; providing related information to Information Systems.

Requirements

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

Responsibilities

• Initiates and tracks enrollment and re-enrollment for new faculty practice providers with government and faculty practice contracted managed care carriers.
• Prepares, sends, and receives correspondence to providers, clinical department personnel, managed care/government carriers and others to obtain required credentialing information for government/managed care enrollment.
• Assists the System FPP business office in resolving provider related denials and rejections, and ensures proper payment for services.
• Communicates billing provider numbers and effective dates to the FPP Information Systems to ensure the billing system is updated.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED