Provider Enrollment Representative

Northwell Health

7d • 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.

What This Job Offers

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