What are the responsibilities and job description for the Provider Enrollment Specialist position at Fairview Health Services?
This position is responsible for effective and timely execution of all enrollment activities for all facilities and providers with the health plans contracted with Fairview and government payers.
Responsible for implementing and maintaining enrollment records for billing providers throughout the Fairview Health Services clinics and facilities.
Complete required credentialing applications; send documents for new and established practitioners and facility to the contracted health plans and government payers.
Maintain accurate Epic enrollment information and monitor related work queues.
Collaborate with providers, payers and internal departments on issues related to the provider enrollment process.
Responsibilities Job Description
Establish and maintain positive relationships with the health plans and government payers; serving as a link between payers and Fairview Health Services.
Complete initial and recredentialing applications for providers and facilities within the established timeframes
Maintain accurate provider enrollment data within the billing system (such as Epic)
Continual monitoring and maintenance of the work queues related to provider enrollment functions within the billing system (such as Epic)
Provide support to internal departments such as Revenue Cycle working together to eliminate write-offs, Physician Recruitment, System Credentialing and hiring departments by tracking and communicating providers progress through the onboarding process
Manage the data process and documentation flow to facilitate a smooth enrollment process. By maintaining accurate enrollment records
Collaborate with team to maximize overall performance of timely enrollment of providers and facilities.
Qualifications
Organization Expectations, as applicable:
- Strong written and verbal communication skills
- Diligent attention to details and pursues quality in accomplishing tasks
- Ability to act and think creatively
- Strong organization and project management skills
- Problem solving skills
- Excellent customer service skills
- Attentive to interpersonal and teamwork skills
- Fulfills all organizational requirements
- Completes all required learning relevant to the role
- Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
- Fosters a culture of improvement, efficiency and innovative thinking.
- Performs other duties as assigned
Minimum Qualifications to Fulfill Job Responsibilities:
Required
Education
- Bachelors degree OR equivalent work experience
Experience
- 3 to 5 years healthcare experience, background in health insurance contracting, billing and reimbursement preferred.
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
