Job Description

POSITION SUMMARY: 

The goal of the Provider Enrollment Support Specialist is to provide support to the Enrollment Specialists in each region. You will be assisting the regions to ensure that all of our doctors/providers are enrolled into the different insurance plans  (not patient enrollment)  This includes but is not limited to, reimbursement issues involving contracts, participation status with payors and claim form formats. In addition, support is provided regarding database issues, provider enrollment applications and payor rules / regulations.

Currently this position will be remote until at least September 2021; however, once it is safe to do so you will be required to work in the Conshohocken Office.

Responsibilities

Maintain internal systems to ensure new groups and providers are added to the billing system.
Maintain internal database of rejected claims issues.  This includes researching issues, communicating with regional offices, tracking and monitoring progress, and updating billing system to ensure claims are rebilled once issues are resolved.
Serve as a liaison to regional offices troubleshooting any enrollment issues.
Build knowledge base for payor requirements and forms.
Develop working knowledge of payor policies for multiple states.
Responsible for adhering to Information Security Policies and ensuring Envision is as secure as possible.

Qualifications

Bachelor's degree in Healthcare, Business, Communications or English is a plus  Must have high school diploma or GED.
Maintain high levels of organization while being extremely focused on detail. 
Be able to efficiently use necessary computer software applications (i.e., Excel, Word, Outlook). 
Ability to meet time-sensitive deadlines and multi-task in a changing healthcare environment.
Excellent written and communication skills. 
Be able to troubleshoot and problem-solve. 
Strong attention to detail.
Must be able to prioritize projects. 
Must maintain composure and professionalism under circumstances that may become stressful.

We offer a comprehensive benefits package that includes:

Medical, Dental, Vision and Prescription benefits available your first day of employment!
Matching 401 K
Generous PTO (Paid time off) package offered including 9 paid holidays per calendar year
Comprehensive Paid Training
15% Septa Discount (monthly pass)
Monday-Friday work week
Conveniently located across the street from Manayunk/Norristown regional rail stop at Miquon Station
Opportunities for growth and advancement