PROVIDER ENROLLMENT SPECIALIST II - NATIONAL MAINTENANCE (REMOTE)
Job Locations
US-NC-Raleigh | US-PA-Horsham Twp | US-MI-Ann Arbor | US-TX-Dallas | US-FL-Clearwater | US-FL-Fort Lauderdale
Company
EVPS
Requisition ID
2022-32200
Category
Practice Support
Overview
Provider Enrollment Specialist II, Maintenance
Envision Healthcare
Remote First to Raleigh, NC
Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.
Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.
Envision's core values drive continual advancement and ingenuity across the enterprise:
Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging
Benefits
We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.
Summary
We have an exciting opportunity for a Provider Enrollment Specialist II focused on maintenance for our Nationally based Provider Enrollment team.This role is responsible for proactively completing all Provider Enrollment maintenance activities.
This is a remote position, allowing the Provider Enrollment Specialist II to be based anywhere in the country.
Responsibilities
Essential Duties and Responsibilities
Complete all maintenance activities including research, recording, communication & information sharing, submission, confirmation and follow up
Maintenance activities include, but are not limited to:
Medicare & Medicaid revalidations
Recredentialing for all payers
Creation and maintenance of CAQH practice and clinician profiles
Submission of clinician updates e.g., licensure and certificates of insurance to payers
Completion of any/all requests for data validation from payers and internal customers
Manage roster submission, review, and data entry
Demographic and other reportable changes, including, but not limited to, terminations, change of ownership, and change of information
Collaborate with colleagues to resolve enrollment related denials associated with maintenance
Collaborate with Analyst and/or RCM to proactively monitor enrollment status for payers that require claim activity to remain participating
Partner with Analyst to communicate any form updates required
Partner with Manager to communicate any payer maintenance activity updates required
Occasional overtime and/or participation on special projects may be required
Adhere to Information Security Policies and ensure Envision is as secure as possible.
Other duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
Qualifications
Demonstrate a systematic approach to carrying out assignments; methodical in planning and performing; effective prioritization is required.
Perform with a high degree of accuracy and compliance; give meticulous attention to detail.
Communicate clearly, concisely, positively, and professionally.
Must be comfortable in a work-from-home environment.
Must meet company basic standards for working remotely.
Education/Experience
High School Diploma or General Education Degree (GED); some College preferred; and 3+ years' experience as detailed above; or equivalent combination of education and experience as previously described in a fast paced, dynamic healthcare environment
Proficiency with group enrollments strongly desired
2+ years' experience with Government healthcare payors
Microsoft Office Suite or Office 365
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.
Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.
Envision Healthcare is an Equal Opportunity Employer.
#LI-CP1
Connect With Us!
Not ready to apply? Connect with us for general consideration.
Envision Physician Services is an Equal Opportunity Employer.
