Provider Enrollment Specialist - Corporate Patient AR Management - Full Time
Guthrie · Sayre, Pennsylvania, US
Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the...
Job description
Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the success and financial stability of The Guthrie Clinic. The team has the direct responsibility for ensuring accurate and timely completion and monitoring of enrollment and re‐enrollment process for over 500 Guthrie Medical Group providers and facilities to be compensated for services performed by providers. Of key importance is accurate and timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal and external communication including but not limited to Guthrie Medical Group, government agencies, payors organizations, providers, and each department managers. Education, License & Cert: Associate Degree required; Bachelors preferred. May be satisfied with previous administrative experience or experience in the health care billing industry. Experience: - Must possess knowledge of provider enrollment requirements for Government agencies, payor organizations and insurance regulations. - Working knowledge of Spread‐sheet Design and use of Excel - Experience with general computer so...