Enrollment Specialist

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services.  As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. 

 

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

Job Title:                  Enrollment Specialist                                                         

Reports To:             Divisional Operations Director,  Enrollment Manager or Supervisor

Department:             Operations                           

FLSA Status:           Non-exempt

 

 

POSITION SUMMARY: 

Enrollment Specialists will support the division in facilitating the enrollment (submitting of applications) of the providers with the various government and insurance healthcare payors and third-party billing entities that require provider enrollment. They are responsible for the accounts receivable on hold pending provider number assignment by the payors.

 

Essential Duties and Responsibilities:

  • Following established enrollment procedures and sound practice directly or by working with Enrollment Coordinators, prepares applications for all new providers for multiple contracts sites, payors and states requiring an acute attention to detail, accuracy and knowledge of complex and varied requirements. Review applications for completeness, flag missing information and signatures before sending the pre-populated applications to the providers for completion. Track and follow up on a timely basis to ensure completion of application process and submission to payor for approval. 
  • Extensive and frequent verbal and written communications with Clinicians, state payors, insurance carriers, third party billing company and internal company staff requiring professionalism and tact to attain or provide all needed information quickly in order to expedite the enrollment of Clinicians in the various plans to maximize billing opportunities. Acts proactively and builds strong relationships with payors to facilitate enrollment and obtain provider billing numbers.
  • Utilizes templates or prepares correspondence inserting proper provider and group related information for submission of applications to payors.  Anticipate payor needs, proactively address and resolve issues with payors to ensure prompt approval of applications.
  • Works with in-house and third party Billing Company for current applications, system updates and identifying/resolving problems. Handles corrections or rejections of claims due to enrollment errors and/or claim submission requirements. Conveys issues and status of problems to Enrollment Management. Ensures Held A/R enrollments are submitted on timely basis to avoid risk of claims/adjustments and an unnecessary increase of Held AR. Maintain and work reports of non-compliant providers and held A/R to maximize income opportunities.
  • Accountable for meeting or exceeding divisional and/or corporate Enrollment performance standards and meeting time-sensitive deadlines as defined. Update status of application in system data bases and in excel reports for accurate reporting. 
  • Works independently within the scope of responsibility and authority. Understands and follows state and payor requirements, some of which are quite complex, and determines which applications require management approval or special processing requirements.  Able to work with high volume enrollments while multi-tasking and driving provider enrollments through completion. (example:  10 contracts with 40 providers per contract)
  • Adheres to all company policies and procedures.

 

Effective information systems security is a team effort involving the participation and support of every EmCare employee who deals with information systems. It is the responsibility of every employee to: Attend Information Systems security training, when offered. Comply with Information Systems security policies, standards and procedures. Use all available protections to safeguard computer systems under their charge from unauthorized access. Report all suspicious requests, incidents, and situations

 

Non-Essential Duties and Responsibilities:

  • Perform other duties as assigned.

 

Minimum Qualifications:

 

Education/Licensing/Certification:

  • Bachelor’s degree preferred or related experience

 

Experience:

  • Two years previous enrollment or related experience preferred
  • Government healthcare payor experience is preferred.
  • Database and excel spreadsheet experience is a must. 

 

Knowledge and Skills:

  • Effective oral, written and interpersonal communication skills, strong telephone skills.
  • Strong Microsoft Word and Excel experience is required.
  • Strong organizations, multi-tasking and attention to detail within a high volume fast paced environment is essential

 

 

 

           

 

Company
Envision
Posted
04/06/2018
Type
Full time
Location
Plantation, Florida 33313, US