Provider Enrollment Specialist

Northern Light Health
Job Description
You are invited to join Northern Light Health family where you can build a solid career track as a Full Time Provider Enrollment Specialist.

Job Summary:

The Provider Enrollment Specialist is responsible for the timely submission of provider enrollment applications to governmental and commercial payers and for performing the tracking and follow-up required until providers are established and linked to the appropriate EMHS group entity.

Responsibilities:
• Manage the successful completion and submission of provider enrollment applications
• Perform tracking and follow-up to ensure providers are established and linked to the appropriate EMHS group entity in a timely manner
• Understand specific application requirements for each payer including pre-requisites, forms required, form completion requirements, supporting documentation and regulations.
• Maintain documentation and reporting regarding provider enrollments in process
• Maintains provider enrollment files electronically via EMHS credentialing software, shared computer files and CAQH (Council for Affordable Quality Healthcare)
• Work closely with departments credentialing staff and member hospitals to expedite completion of forms and requirements including obtaining signatures, locating required documentation, etc.
• Ensure that established provider IDs and effective dates are communicated to appropriate billing and revenue departments so claims can be processed for submission.
• Etc...
 

Competencies and skills:
Essential:
* Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a macro programming.
* Word processing, spreadsheets, data entry, database experience and other computer related skills.
* Word process application with the ability to create and edit documents, format, use tables, apply footnoting, create table of contents and mail merge techniques.
* No previous experience required.

Education Essential:
* High School Diploma/General Educational Development (GED)

To find out more details and to apply, click "Provider Enrollment Specialist".
 
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.
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