Provider Enrollment Specialist
About The Position
Ready to own the provider enrollment process and make a real difference? As our go-to expert, you’ll lead critical projects, solve complex challenges, and drive faster provider onboarding by uncovering trends and breaking down barriers. Collaborate cross-functionally, manage priorities like a pro, and champion process improvements—all while ensuring compliance. If you’re a problem-solver who thrives on impact and speed, this role was made for you! Join a close-knit team of five dedicated professionals supporting CHOP’s Revenue Cycle team. As a Provider Enrollment Specialist, you’ll play a key role in processing pre-enrollment for providers across our Behavioral Health department and other specialty areas. This role is hybrid requiring one onsite day (Wednesday) weekly. Onsite presence for trainings or other meetings may be required. The Provider Enrollment Specialist will work a consistent schedule starting their day between 7am-9am and end by 3:30pm-5pm.
Requirements
- At least three (3) years of work experience in healthcare billing or collections environment or other related role. Required
- Demonstrated success in resolution of patient accounts; demonstrated ability to identify trends and complete assignments timely Required
- Strong math aptitude (Required proficiency)
- Excellent organizational skills. (Required proficiency)
- Clear and concise decision making skills (Required proficiency)
- Leadership skills (Required proficiency)
- Detail oriented (Required proficiency)
- String interpersonal skills (Required proficiency)
- Excellent writing and oral communication skills (Required proficiency)
- Ability to work independently; results oriented (Required proficiency)
- Ability to handle confidential matters. (Required proficiency)
- Flexibility to work overtime as needed/required (Required proficiency)
- Experience with personal computers including Excel (Required proficiency)
Nice To Haves
- Bachelor's Degree Preferred
- At least one (1) year of coding experience Preferred
- Experience with CAQH, ECHO, and payor portals is highly valued
- Experience with Epic system (Preferred proficiency)
Responsibilities
- Acts as subject matter expert in their department, manages projects to timely completion, troubleshoots issues and maintains accurate and compliant workflows.
- Holds inter-departmental relationships within PFS and outside of PFS; manages assigned workflows and work queues associated with these relationships and is the primary communicator with the department for any improvement opportunities.
- Monitors work queues assigned as their responsibility, meeting established production and quality standards for the assigned tasks.
- Specific focus is project oriented. Identify trends, training opportunities, denial prevention initiatives and maintaining internal controls for the department.
- Performs workflow analysis, documents workflows, and testing planning in support of departments strategic and operational objectives.
- Stays current on regulations and industry standard trends to ensure CHOP is compliant.
- Responsible for creating presentation and data analytics to drive change and improvements.
- Documents processes to help keep revenue cycle stakeholders informed and identify optimization opportunities.
- Other duties as assigned.
Benefits
- Annual influenza vaccine
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
