Provider Enrollment Specialist 1

Air Methods

16d

About The Position

Job SummaryResponsible to analyze, prepare, review, monitor and maintain contract documents. Responsible for the processing and maintenance of all enrollment related changes and updates. Interfaces with a variety of internal and external customers, including crew members and referring/receiving hospitals. Essential Functions and Responsibilities include the following: • Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are keep up to date• Ensure all billing related provider enrollment application agreements include initial enrollments, changes and updates• Communicate with internal and external customers including but not limited to medical and operational crew members to gather appropriate information and report any pended information to internal leadership• Manage and maintain provider listings for Medicaid, Medicaid HMO and Private Insurance• Compile and maintain standardized company documents/attachments as appropriate• Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Other Duties as assigned.Additional Job Requirements• Regular scheduled attendance• Indicate the percentage of time spent traveling: 0%Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.Supervisory ResponsibilitiesThis position has no supervisory responsibilities.QualificationsTo perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.Education & Experience• Associate’s degree (A.A.) or equivalent from two-year college or technical school; and one to three years’ experience in complex healthcare contract/agreements and/or training; or equivalent combination of education and experience.• Experience in handling various aspects of billing, data integrity and collection function for a healthcare provider preferred• Knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Knowledge and understanding of claim process• Proficient in data analysis and knowledgeable of relational databases with demonstrated proficiency in report development using complex queries. Skills• Excellent organizational skills, detail oriented, ability to prioritize and multi-task and meet deadlines.• Excellent verbal and written communication skills• Advanced customer service and phone skillsComputer Skills• Intermediate Microsoft Office Suite, including Word, Excel, Access and Outlook.Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Requirements

Associate’s degree (A.A.) or equivalent from two-year college or technical school; and one to three years’ experience in complex healthcare contract/agreements and/or training; or equivalent combination of education and experience.
Excellent organizational skills, detail oriented, ability to prioritize and multi-task and meet deadlines.
Excellent verbal and written communication skills
Advanced customer service and phone skills
Intermediate Microsoft Office Suite, including Word, Excel, Access and Outlook.

Nice To Haves

Experience in handling various aspects of billing, data integrity and collection function for a healthcare provider preferred
Knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures
Knowledge and understanding of claim process
Proficient in data analysis and knowledgeable of relational databases with demonstrated proficiency in report development using complex queries.

Responsibilities

Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are keep up to date
Ensure all billing related provider enrollment application agreements include initial enrollments, changes and updates
Communicate with internal and external customers including but not limited to medical and operational crew members to gather appropriate information and report any pended information to internal leadership
Manage and maintain provider listings for Medicaid, Medicaid HMO and Private Insurance
Compile and maintain standardized company documents/attachments as appropriate
Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures
Other Duties as assigned
Regular scheduled attendance