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The Provider Enrollment Representative will facilitate activities from the point of the provider candidate's acceptance of employment to the point of the candidate's approved enrollment with DC, Maryland, Virginia and West Virginia Medicaid and Medicare.
The purpose of this position is to provide an efficient process to ensure that our new providers are enrolled prior to activation of privileges.
The representative will work in concert with Medical Staff Services, the individual providers, department administrators and leadership to complete the enrollment applications and submit with all related credentials, licensing and other payer specific requirements.
The Provider Enrollment Representative is a critical member of the Revenue Cycle and CNH organization teams for ensuring that providers are enrolled and prepared to begin working by the time of Board approval.
Qualifications : Minimum Education
Minimum Education
High School Diploma or GED (Required)
Associate's Degree (Preferred)
Minimum Work Experience
3 years Experience in customer service in a healthcare setting, professional billing or denial resolutions based on in-network and provider enrollment requirements
Required) Or
3 years Experience in provider medical licensing and State and Federal enrollment processes and applications. (Preferred)
Required Skills / Knowledge
Superior ability to interface effectively with providers, provider leadership, internal departments and external agencies.
Superior administrative skills to include strong organizational skills and the ability to multi-task.
Extreme attention to detail and ability to focus and perform without supervision.
Superior communication skills both written and oral.
Internet and computer skills to include intermediate Excel and Word
Knowledge of healthcare and professional provider services
Functional Accountabilities
Documenting accepted and eligible provider
Provider License and Credential Activities
Enrollment Activities
Communication / Team
Supporting Enrollments
Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment / Identification
Anticipate and responds to customer needs; follows up until needs are met
Teamwork / Communication
Performance Improvement / Problem-solving
Cost Management / Financial Responsibility
Safety
Last updated : 2024-05-14
Full Time
Ambulatory Healthcare Services
$37k-47k (estimate)
05/16/2024
05/15/2024
childrensnational.org
WASHINGTON, DC
3,000 - 7,500
1870
ERIN MARIE AUGUSTINE
$1B - $3B
Ambulatory Healthcare Services
The job skills required for Enrollment representative include Billing, Customer Service, Problem Solving, Commitment, Communication Skills, etc. Having related job skills and expertise will give you an advantage when applying to be an Enrollment representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Enrollment representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Enrollment representative positions, which can be used as a reference in future career path planning. As an Enrollment representative, it can be promoted into senior positions as an Enrollment & Billing Representative II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Enrollment representative. You can explore the career advancement for an Enrollment representative below and select your interested title to get hiring information.