Provider Enrollment Research Representative

TeamHealth

JOB DESCRIPTION OVERVIEW: This position is primarily responsible for working rejection codes linked to Provider Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely and efficient completion.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

 Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.

 Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.

 Report any errors or problems that affect claims from receiving payment.

 Report any claim issues identified.

 Report any carrier issues identified.

 Maintain knowledge of ETM and carrier requirements.

 Participate in weekly meeting with Manager.

 Performs other duties and assignments as requested.

Job Requirements:

QUALIFICATIONS / EXPERIENCE:

 High school diploma or equivalent required.

 Demonstrated knowledge of physician billing.

 Excellent oral and written communication.

 Computer literate.

 Excellent follow-up skills.

 Excellent organizational skills.

SUPERVISORY RESPONSIBILITIES:

 None

PHYSICAL / ENVIRONMENTAL DEMANDS:

 Job performed in a well-lighted, modern office setting

 Occasional standing/bending

 Occasional lifting/carrying (20lbs or less)

 Moderate stress

 Prolonged sitting

 Prolonged work on a PC/computer

 Prolonged telephone work

This position may require manual dexterity and/or frequent use of the computer, telephone,

10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform

repetitive motions and/or meet production standards to comply with the essential functions.

Also, may require physical and/or mental stamina to work overtime, additional hours beyond

a regular schedule and/or more than five days per week. Overtime may be required and can

be mandated by Management.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential

function of every position. All employees must be able to work with others beyond giving and

receiving instructions. This includes getting along with co-workers, peers and management

without exhibiting behavior extremes. Job functions may require personal leadership skills

such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as

responding appropriately to job performance feedback from the supervisor. Additionally, the

information contained in this job description has been designated to indicate the general nature

and level of work performed by employees within this classification. It is not designed to

contain or be interpreted as a comprehensive inventory of all duties, responsibilities and

qualifications required of employees assigned to this position.

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Confirmed 5 hours ago. Posted 5 hours ago.

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