Provider Enrollment Assistant

Job Description

Job Description

PROVIDER ENROLLMENT ASSISTANT

Job Type: Full Time, Hourly

Reports to: Enrollment Coordinator

Purpose: The Provider Enrollment Assistant assists the Enrollment Coordinator and Provider Enrollment Specialist in ensuring that all documents are on file and health care providers are properly enrolled with payers so that claims filed for payment are not denied due to enrollment-related errors or omissions.

Responsibilities and Duties:

● Prepare and submit enrollment applications for physicians and allied health professionals and facilities with government and third-party payers

● Monitor and coordinate activity regarding new enrollments to ensure that all providers are enrolled with all assigned payers

● Process and monitor hospital privilege applications

● Update provider directory for changes received from insurers

● Troubleshoot and resolve payer issues related to enrollment/credentialing ● Maintain each provider’s CAQH account (Council for Affordable Quality Healthcare) to ensure continuous accuracy

● Coordinate provider on-boarding

● Act as a liaison between insurance companies, hospitals, and other facilities and parties regarding enrollment issues

● Ensure that all required insurance credentialing documentation on file is current ● Collaborate with the the Enrollment Coordinator on problem solving, continuous improvement, and issue resolution

● Maintain a detailed log/spreadsheet of all pending and completed tasks and enrollments ● Communicate enrollment status with supervisor on a regular basis

● Assist with special projects and information requests

Attributes Required:

● Work Ethic: an intrinsic drive to excel

● Integrity: an indisputable reputation for honesty

● Values: demonstrated passion for Cahaba Medical Care’s Core Cultural Competencies ● Confidentiality: disciplined sensitivity regarding confidential information

Skills and Qualifications:

Required

● Meticulous attention to details

● Ability to manage workload so that tasks and projects are completed on schedule

● Effectiveness in communicating with and influencing action from providers, clinicians, and professionals in the insurance industry

● Proficiency with laptop functions, electronic spreadsheets and documents (Google Sheets and Google Docs), and internet interactions

● Affinity for both simple tasks and complex projects

Preferred

● Familiarity with enrollment and credentialing processes

● Experience in enrolling healthcare providers with various payers

Work Environment:

• Cahaba Medical Care is a nicotine-fee organization. Smoking and use of electronic cigarettes is prohibited anywhere on a Cahaba Medical Care campus. Employees who use nicotine are not eligible for full employee coverage of health insurance premiums.

• Cahaba Medical Care requires adherence to TB screening and immunization policies for its staff, in accordance with CDC recommendations for healthcare workers.

• Cahaba Medical Care’s administrative functions are performed in a professional office environment where appropriate business casual attire is required and appropriate safety protocols are mandated.