Provider Enrollment Specialist

Job Description

Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director, Administration, and Allied Health Professionals.

• Participates in enrollment progress update meetings for assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators.
• Completes all payer re-credentialing requests and demographic/roster requests.
• Completes out-of-State Medicaid individual and facility enrollments timely and accurately for assigned States.
• Participates in team work sessions for each market to address Epic hold and denial work queues and communicate issues and trends to leadership. Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types.
• Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and accurate enrollment.

• Computer literacy
• Microsoft Office
• Communication (oral and written)
• Organizational Skills
• Attention to Detail
• Accountability/ability to work independently
• Customer Service
• Knowledge of medical billing and collections
• Medical terminology

• High School graduate or equivalent is required
• One (1) year previous work experience in healthcare
• Preferred previous work experience in a revenue cycle setting
• Preferred previous work experience with provider enrollment and/ or credentialing

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions verbally and written with providers, colleagues and leadership
• Frequent computer use for typing, accessing needed information, etc.
• Manual dexterity of hands and fingers.

Peaks Regional Office

Broomfield

Colorado

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$21.84 - $33.23

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here ((Use the "Apply for this Job" box below).).

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.