Provider Enrollment Specialist II, HCA Alliance Emergency Medicine / Hospitalist Medicine

Envision Healthcare

Remote to Clearwater, FL

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

We have an exciting opportunity for a remote Provider Enrollment Specialist II focused on our nationally based Emergency Medicine and Hospitalist Medicine team, working remotely in a joint venture capacity with HCA. The Provider Enrollment Specialist II is responsible for ensuring a high quality, timely, and proper provider enrollment application and re-credentialing process for new hires.

Essential Duties and Responsibilities

• Prepare applications for all new providers for assigned contracts.
• Submit applications to Payors.
• Track and follow up to obtain provider numbers.
• Work with Billing Company for applications and system updates.
• Build relationship with divisional payors to facilitate enrollment.
• Maintain and work reports of non-compliant providers and held A/R.
• Build knowledge base for payor requirements and forms.
• Develop working knowledge of payor policies for multiple states.
• Assist other Enrollment Specialists with questions regarding enrollment applications.
• May be asked to assist with special projects for assigned division.
• Adhere to Information Security Policies and ensure Envision Healthcare is as secure as possible.
• Other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Demonstrated experience working with high-volume enrollments and payors in multiple states.
• Able to develop strong relationships with the payors and practitioners over the phone.
• Able to establish strong working relationships with team members.
• Capable written and verbal communication skills.
• Able to work independently, while managing details and meeting time-sensitive deadlines.
• Able to work well under pressure in a fast-paced, team-oriented environment.
• Proactive with the resolution of payor issues.
• Must be comfortable in a work-from-home environment.
• Must meet company basic standards for working remotely.

Education/Experience

• High School Diploma or General Education Degree (GED)
• 2+ years of provider enrollment experience in a fast paced, dynamic healthcare environment
• 2+ years’ experience with Government healthcare payors
• Microsoft Office Suite, i.e. Word, Outlook, Excel
• Demonstrated ability to navigate payor / provider enrollment databases for data management tasks and Excel for updating prioritization reports

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Healthcare is an Equal Opportunity Employer.

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