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Hospital Claims Enrollment Coordinator
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Description:
The Enrollment Coordinator is responsible for processing both new hospital and physician practice enrollments for all claims products, including claims submission, claim status and ERA's (Electronic Data Interchange - EDI - transactions).
Manages the enrollment process ensuring the following functions are completed in a timely fashion:
Payer list parameters are communicated to client via enrollment process documents sent with initial implementation documentation
Review payer list and verify payer ID for each payer
Verify all Tax ID/NPI combination supplied by provider and confirm total number of enrollments with provider
Identify payers that require enrollment and review enrollment requirements, taking into account connection route to payer client. Conduct enrollment follow-up with payer/vendor regarding enrollment application status
Follow guidelines to ensure correct enrollment across all departments/areas of the client organization.
Send list of payers requiring enrollment for claims and remittance back to client for review and confirmation
Use confirmed list of claims payers requiring enrollment and forwarding enrollment forms to the provider via email (preferred) or other trackable means if necessary (i.e. FedEx, UPS, etc) along with an enrollment task list detailing all pertinent information (i.e. Tax ID/NPI combinations, list of payers, etc).
Superior interpersonal customer service, communication skills, flexibility and responsiveness
Strong project management skills and the ability to manage multiple projects/solutions for multiple areas
Ability to work with and meet hard deadlines
Ability to function in a fast-paced high volume environment on a team
Possesses strategic thinking and tactical planning skills
Ability to coordinate with different people at all business levels
Qualifications:
Associates or Bachelor's degree preferred, but not required
Intermediate MS Excel a must
Ideal candidate will have 1-3 years experience in both Hospital and Physician billing and provider/group enrollments as well as 1-3 years experience specific to (or a combination of) hospital and physician billing and provider/group enrollments.
Alphanumeric data entry
Salesforce (or other CRM) experience a plus
o Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
The Enrollment Coordinator is responsible for processing both new hospital and physician practice enrollments for all claims products, including claims submission, claim status and ERA's (Electronic Data Interchange - EDI - transactions).
Manages the enrollment process ensuring the following functions are completed in a timely fashion:
Payer list parameters are communicated to client via enrollment process documents sent with initial implementation documentation
Review payer list and verify payer ID for each payer
Verify all Tax ID/NPI combination supplied by provider and confirm total number of enrollments with provider
Identify payers that require enrollment and review enrollment requirements, taking into account connection route to payer client. Conduct enrollment follow-up with payer/vendor regarding enrollment application status
Follow guidelines to ensure correct enrollment across all departments/areas of the client organization.
Send list of payers requiring enrollment for claims and remittance back to client for review and confirmation
Use confirmed list of claims payers requiring enrollment and forwarding enrollment forms to the provider via email (preferred) or other trackable means if necessary (i.e. FedEx, UPS, etc) along with an enrollment task list detailing all pertinent information (i.e. Tax ID/NPI combinations, list of payers, etc).
Superior interpersonal customer service, communication skills, flexibility and responsiveness
Strong project management skills and the ability to manage multiple projects/solutions for multiple areas
Ability to work with and meet hard deadlines
Ability to function in a fast-paced high volume environment on a team
Possesses strategic thinking and tactical planning skills
Ability to coordinate with different people at all business levels
Qualifications:
Associates or Bachelor's degree preferred, but not required
Intermediate MS Excel a must
Ideal candidate will have 1-3 years experience in both Hospital and Physician billing and provider/group enrollments as well as 1-3 years experience specific to (or a combination of) hospital and physician billing and provider/group enrollments.
Alphanumeric data entry
Salesforce (or other CRM) experience a plus
o Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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