What are the responsibilities and job description for the Provider Enrollment Support Specialist ARTC position at Catholic Health?
Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Not Applicable
Work Schedule: Days
Hours
8 am - 4 pm
Summary
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.
This position is responsible for tracking the end-to-end enrollment and re-credentialing process for healthcare providers with commercial insurance payers, Medicare, and Medicaid. Ensure accurate data entry, maintain provider databases, resolve claim issues, and track application statuses to ensure timely reimbursement and compliance. Also provides administrative support to the Lead Provider Enrollment Coordinator & Enrollment Coordinators as needed.
Responsibilities
EDUCATION
ENVIRONMENT
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Not Applicable
Work Schedule: Days
Hours
8 am - 4 pm
Summary
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.
This position is responsible for tracking the end-to-end enrollment and re-credentialing process for healthcare providers with commercial insurance payers, Medicare, and Medicaid. Ensure accurate data entry, maintain provider databases, resolve claim issues, and track application statuses to ensure timely reimbursement and compliance. Also provides administrative support to the Lead Provider Enrollment Coordinator & Enrollment Coordinators as needed.
Responsibilities
EDUCATION
- High School Diploma
- 1-3 years of experience in clerical position, office setting, or healthcare setting required
- Previous experience with provider enrollment, credentialing, or revenue cycle operations preferred
- Understanding of HIPAA compliance and medical terminology preferred
- Familiarity with Medicare, Medicaid, CAQH, and NPI management preferred
- MS office expertise, most notably Word, Excel, PowerPoint and Electronic Health Records (EHR) or database systems
- Excellent written and oral communication skills
- Strong attention to detail, excellent communication/organizational skills, and the ability to work under deadlines
- Ability to work well with others
- Ability to work independently and manage multiple, conflicting priorities
- Dependable in both production and attendance
- Self-motivated
- Participates in performance improvement activities on all aspects of the insurance enrollment and credentialing process
- Adheres to the confidentiality policy
- Identifies needed resources/references/supplies and provides recommendations to the manager
ENVIRONMENT
- Normal heat, light space, and safe working environment; typical of most office jobs
Salary : $18 - $27