Provider Enrollment Assistant
Cahaba Medical Care Foundation
divh2Provider Enrollment Assistant/h2pThe Provider Enrollment Assistant assists the Enrollment Coordinator and Provider Enrollment Specialist in ensuring that all documents are on file and health care providers are properly enrolled with payers so that claims filed for payment are not denied due to enrollment-related errors or omissions./ppResponsibilities and Duties:/pulliAssist in preparing and submitting enrollment applications for physicians and allied health professionals, and facilities with government and third-party payers/liliAssist in monitoring and coordinating activity regarding new enrollments to ensure that all providers are enrolled with all assigned payers/liliAssist in the process and monitoring of hospital privilege applications/liliUpdate the provider directory for changes received from insurers/liliTroubleshoot and resolve payer issues related to enrollment/credentialing/liliMaintain each providers CAQH account (Council for Affordable Quality Healthcare) to ensure continuous accuracy/liliCoordinate provider onboarding/liliAct as a liaison between insurance companies, hospitals, and other facilities and parties regarding enrollment issues/liliEnsure that all required insurance credentialing documentation on file is current/liliCollaborate with the Enrollment Coordinator on problem-solving, continuous improvement, and issue resolution/liliMaintain a detailed log/spreadsheet of all pending and completed tasks and enrollments/liliCommunicate enrollment status with the supervisor on a regular basis/liliAssist with special projects and information requests/li/ulpAttributes Required:/ppWork Ethic: an intrinsic drive to excel/ppIntegrity: an indisputable reputation for honesty/ppValues: demonstrated passion for Cahaba Medical Cares Core Cultural Competencies Confidentiality: disciplined sensitivity regarding confidential information/ppSkills and Qualifications:/ppRequired/pulliAttention to detail/liliAbility to manage workload so that tasks and projects are completed on schedule. Effectiveness in communicating with and influencing action from providers, clinicians, and professionals in the insurance industry/liliProficiency with laptop functions, electronic spreadsheets and documents (Google Sheets and Google Docs), and internet interactions/liliAffinity for both simple tasks and complex projects/li/ulpPreferred/pulliFamiliarity with enrollment and credentialing processes/liliExperience in enrolling healthcare providers with various payers/li/ul/div
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