ProviderEnrollmentSpecialist

develop, coordinate, implement and manage provider enrollment (PE), electronic data interchange (EDI), electronic funds transfer (EFT), electronic remittance advice (ERA) and payer web portal requirements with governmental and commercial payers., facilitate obtaining the appropriate signatures and verify application accuracy prior to submission., communication and interpersonal relationship development with payers both for initial enrollment and for managing changes brought about by regulatory requirements., navigate a myriad of payer systems to understand specific process requirements as well as utilize the specific on-line tools for managing the status of enrollments, electronic claims status, remittances, payments and clearinghouse activities., Serves as the initial contact for trouble shooting, monitoring document transmissions, and identifying opportunities for process improvements regarding government payers., Communicates and works closely with Patient Financial Services, Cash Posting, GE Billing Services, Operational and Compliance leadership and provide technical support to facilitate the prompt flow of revenue in a compliant manner., independently prioritize and process a high volume of work., identify and develop workflow processes to meet the ever-changing regulatory requirements, Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments, Develop and maintain database of all EMS licenses for all base locations to assure consistency with submitted documentation., identify, develop and conduct audits of and for Provider Enrollment and Patient Financial Services., train on the complexities of payer and regulatory requirements., Communicate to management all changes in Medicare/ Medicaid/Tricare/HIS and all other federal payer enrollment requirements., Maintain the highest level of confidentiality at all times in accordance with HIPAA guidelines and PHI Group Inc.

and PHI Health, LLC policies., Adhere to all PHI Group, Inc.

and PHI Health, LLC policies and procedures., Demonstrate responsiveness and sense of urgency when dealing with payers and internal customers., Possess the ability to initiate and follow through on detailed regulatory requirements., Complying with Company HS&E policy and procedures., Responsible for supporting company Safety Management Systems activities., Understands and provides visible support of Destination Zero., Perform other duties as assigned.