Provider Enrollment Coordinator
Date Posted:
September 27, 2021
Department:
Revenue Cycle Management Provider Enrollment
Shift:
Day (United States of America)
Hours Per Week:
40
Union Contract:
Non-Union
Weekend Rotation:
None
Job Summary:
Enrolls providers and/or organizations. Works with external agencies responding to inquires. Follows-up on billing issues in partnership with the Revenue Management Cycle team.
Job Description:
Principle Responsibilities
* Enrolls providers.
* Enters and reconciles individual providers and/or organization data.
* Resolves and responds to internal and external customer inquiries.
* Completes enrollment applications for agencies.
* Manages internal documentation in OnBase.
* Handles Revenue Cycle Management issues.
* Ensures providers are set-up in the billing system.
* Other duties as assigned.
Job Requirements
* High School or GED required
* Bachelor's degree in Health Care or related field preferred
* 2 to 5 years experience in health care required
* Less than 2 years experience in provider enrollment, third party payers preferred
Leadership Capabilities
* See the Big Picture: Know where we are going as an organization. Use sound judgement and critical thinking to make good decisions that support our mission.
* I know where Allina is going and how my role fits into this picture
* I capture important lessons and share them to foster innovation
* I am good at anticipating the implications of my decisions
* I understand and apply the disciplines of continuous improvement
* Inspire Greatness: Inspire others by connecting their purpose to the broader mission. Lead others through change and celebrate success.
* I help my team connect to the broader mission
* I see and fulfill my role in motivating the team around me
* I celebrate success and help my partners see what is possible with change
* I call out and address unexpected roadblocks or problems
* Foster Learning and Growth: Role model growth, ongoing development and self-care. Empower, coach and encourage others to be at their best selves.
* I role-model self-care and ongoing development
* I share my knowledge and coach others to foster growth and success
* I demonstrate enthusiasm for learning
* I candidly advocate for the resources I need
* I support my colleagues in their development and growth
* Deliver Excellence: Set and align clear goals, measure results, and continually improve safety, quality, experience, and innovation.
* I take ownership of outcomes and fulfillment of goals
* I facilitate adjustments to assure positive results
* I work with a sense of urgency, concern and determination
* I use well-grounded approaches to create sustainable solutions repeatedly
* I engage and foster improvements to impact safety, quality, and efficiency
* Succeed Together:Connect with others authentically. Recognize the value of each individual and seek diverse points of view. Collaborate to succeed together.
* I consider how decisions might impact my colleagues
* I am generous in my commitment to supporting the needs of my partners
* I respect others' opinions, praise good work and encourage all team members to be involved
* I seek common ground and work to create mutually beneficial outcomes
Functional Competencies
* Communication Skills: Advanced communication skills involving complicated topics.
* Problem Solving: Uses common sense to solve routine issues.
Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently
Additional Job Description:
* Enrolls providers with contracted health plans using various electronic enrollment applications and keeping track in Provider Enrollment Credentialing Database
* Submit Provider Enrollment Health Plan Approval documentation into credentialing system
* Reconcile Provider Enrollment databases to ensure record accuracy including directory updates
* Complete appropriate steps for updating and maintaining Provider Enrollment Databases and to ensure claims processed timely and accurately
* Handle the recredentialing process for individual providers
* Request and update expireables for individual providers
* Ensure all work is performed according to established policies and guidelines
* Frequent provider interaction to ensure timely 3rd party payer enrollment is completed
* Receive and initiate calls to 3rd party payers, answer an ACD call system, respond to internal and external customer questions and requests for resolution
* This position is Remote 100% of the time, Must live in MN or WI*
September 27, 2021
Department:
Revenue Cycle Management Provider Enrollment
Shift:
Day (United States of America)
Hours Per Week:
40
Union Contract:
Non-Union
Weekend Rotation:
None
Job Summary:
Enrolls providers and/or organizations. Works with external agencies responding to inquires. Follows-up on billing issues in partnership with the Revenue Management Cycle team.
Job Description:
Principle Responsibilities
* Enrolls providers.
* Enters and reconciles individual providers and/or organization data.
* Resolves and responds to internal and external customer inquiries.
* Completes enrollment applications for agencies.
* Manages internal documentation in OnBase.
* Handles Revenue Cycle Management issues.
* Ensures providers are set-up in the billing system.
* Other duties as assigned.
Job Requirements
* High School or GED required
* Bachelor's degree in Health Care or related field preferred
* 2 to 5 years experience in health care required
* Less than 2 years experience in provider enrollment, third party payers preferred
Leadership Capabilities
* See the Big Picture: Know where we are going as an organization. Use sound judgement and critical thinking to make good decisions that support our mission.
* I know where Allina is going and how my role fits into this picture
* I capture important lessons and share them to foster innovation
* I am good at anticipating the implications of my decisions
* I understand and apply the disciplines of continuous improvement
* Inspire Greatness: Inspire others by connecting their purpose to the broader mission. Lead others through change and celebrate success.
* I help my team connect to the broader mission
* I see and fulfill my role in motivating the team around me
* I celebrate success and help my partners see what is possible with change
* I call out and address unexpected roadblocks or problems
* Foster Learning and Growth: Role model growth, ongoing development and self-care. Empower, coach and encourage others to be at their best selves.
* I role-model self-care and ongoing development
* I share my knowledge and coach others to foster growth and success
* I demonstrate enthusiasm for learning
* I candidly advocate for the resources I need
* I support my colleagues in their development and growth
* Deliver Excellence: Set and align clear goals, measure results, and continually improve safety, quality, experience, and innovation.
* I take ownership of outcomes and fulfillment of goals
* I facilitate adjustments to assure positive results
* I work with a sense of urgency, concern and determination
* I use well-grounded approaches to create sustainable solutions repeatedly
* I engage and foster improvements to impact safety, quality, and efficiency
* Succeed Together:Connect with others authentically. Recognize the value of each individual and seek diverse points of view. Collaborate to succeed together.
* I consider how decisions might impact my colleagues
* I am generous in my commitment to supporting the needs of my partners
* I respect others' opinions, praise good work and encourage all team members to be involved
* I seek common ground and work to create mutually beneficial outcomes
Functional Competencies
* Communication Skills: Advanced communication skills involving complicated topics.
* Problem Solving: Uses common sense to solve routine issues.
Physical Demands
Sedentary:
Lifting weight Up to 10 lbs. occasionally, negligible weight frequently
Additional Job Description:
* Enrolls providers with contracted health plans using various electronic enrollment applications and keeping track in Provider Enrollment Credentialing Database
* Submit Provider Enrollment Health Plan Approval documentation into credentialing system
* Reconcile Provider Enrollment databases to ensure record accuracy including directory updates
* Complete appropriate steps for updating and maintaining Provider Enrollment Databases and to ensure claims processed timely and accurately
* Handle the recredentialing process for individual providers
* Request and update expireables for individual providers
* Ensure all work is performed according to established policies and guidelines
* Frequent provider interaction to ensure timely 3rd party payer enrollment is completed
* Receive and initiate calls to 3rd party payers, answer an ACD call system, respond to internal and external customer questions and requests for resolution
* This position is Remote 100% of the time, Must live in MN or WI*
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