Assist Provider Enrollment Specialist in various areas of the enrollment process as needed
Essential Duties and Responsibilities:
Include the following
. Other duties may be assigned.
Must have worked in a medical practice
Responsible for intake and tracking of Notification forms and checklist items.
Assist in the enrollment process by data entry of information into Vistar system for initial, updated; add on applications and maintenance processes.
Accurately perform a variety of enrollment duties such as: placing calls, processing incoming correspondence, faxing, scanning, linking documents to appropriate provider file, sending inquires to payers,
proper documentation of all details in provider file per PE Guidelines
and other duties as needed.
Review new enrollment files for deficiencies.
Pursue incomplete information with practice contact or provider.
Process and maintain re-credentialing applications in accordance with CHS PE policy and procedure.
Assist as needed in preparing enrollment applications.
Update expired fields in Vistar such as license, DEA and malpractice as needed.
Advise Enrollment Specialist of questionable information received and any issues identified during the processes.
Compliance with CHS Enrollment policy and procedure.
Practice and adhere to the "Code of Conduct" per CHS policy.
Initial completion of CAQH applications and update as needed for re-credentialing.
Ensure confidentiality ALL of data.
This job has no supervisory responsibilities
To perform the job successfully, an individual should demonstrate the following competencies:
- Collects and researches data; Uses intuition and experience to complement data
- Responds promptly to customer needs
- Maintains confidentiality of all patient information and company documents
- Listens and gets clarification; Responds well to questions
- Able to read and interpret written information
- Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position
- Demonstrates accuracy and thoroughness
- Meets productivity standards
- Adapts to changes in the work environment
- Is consistently at work and on time
Organization - proactively prioritizes needs. Ability to show attention to detail.
Communication - communicates clearly and concisely. Must have excellent interpersonal and written communication skills. This includes spelling and grammar skills.
Service- establishes and maintains long-term customer relationships
Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures, and systems.
PC Skills - demonstrates proficiency in Microsoft Office (Outlook, Excel, and Word) applications and others as required.
Ability to work independently and under pressure.
Credentialing –Knowledge of credentialing process preferred
Education and Experience Preferred:
High school diploma or general education degree (GED).
At least 1 year previous office experience including data entry, typing, and basic computer usage and proficient keyboard and PC skills preferred. Previous Credentialing experience preferred. Typing speed 30-50 words per minute. Understanding of professional telephone etiquette. Able to work with minimal supervision and works well in both individual and group environment.
Ability to read and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence.
Ability to effectively present information in one-on-one and small group situations.
Ability to apply common sense understanding to carry out detailed written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.
To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.
Business Office Support
TN-Franklin (Nashville Region)
Forecasted paid hours per shift
Forecasted hours per pay week
Community Health Systems - 20 months ago
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