供应商注册专员1级
Provider Enrollment Specialist 1
概述
职位摘要负责分析、准备、审核、监控和维护合同文件。负责处理和维护所有与注册相关的变更和更新。与各种内部和外部客户进行沟通，包括机组人员和转诊/接收医院。起薪为每小时20.53美元。
主要职责和任务包括以下内容：• 通过电子方式和/或纸质方式管理并跟踪所有Medicaid/私人保险账单提供商注册申请协议，并确保所有协议保持最新• 确保所有与账单相关的提供商注册申请协议包括初始注册、变更和更新• 与内部和外部客户（包括但不限于医疗和运营机组人员）沟通，以收集相关信息，并将任何待处理的信息报告给内部领导• 管理和维护Medicaid、Medicaid HMO和私人保险的提供商列表• 编制并维护标准化的公司文件/附件• 保持对各种PPO、HMO、Medicare、Medicaid及其他付款人报销结构的最新了解• 其他指派的任务。
附加职位要求• 定期出勤• 指明出差时间百分比：0%根据适用法律和Air Method的政策，定期出勤是该职位的基本职责。所有员工必须遵守Air Methods的雇佣实践和政策。
监督职责此职位无监督职责。
资格为了成功履行此工作，个人必须能够满意地完成每一项基本职能。以下要求代表了所需的知识、技能和/或能力。根据适用法律，Air Methods将提供合理的便利，不会造成过度负担，以便残疾员工能够履行该职位的基本职责。
教育与经验• 获得两年制学院或技术学校颁发的副学士学位（A.A.）或同等学历；以及在复杂医疗合同/协议和/或培训方面有一至三年的经验；或教育和经验的等效组合• 在医疗保健提供者中处理账单、数据完整性和收集功能的各个方面有经验者优先• 了解各种PPO、HMO、Medicare、Medicaid及其他付款人报销结构• 知识
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Overview
Job SummaryResponsible to analyze, prepare, review, monitor and maintain contract documents. Responsible for the processing and maintenance of all enrollment related changes and updates. Interfaces with a variety of internal and external customers, including crew members and referring/receiving hospitals. Starting pay is $20.53 hourly.
Essential Functions and Responsibilities include the following: • Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are keep up to date• Ensure all billing related provider enrollment application agreements include initial enrollments, changes and updates• Communicate with internal and external customers including but not limited to medical and operational crew members to gather appropriate information and report any pended information to internal leadership• Manage and maintain provider listings for Medicaid, Medicaid HMO and Private Insurance• Compile and maintain standardized company documents/attachments as appropriate• Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Other Duties as assigned.Additional Job Requirements• Regular scheduled attendance• Indicate the percentage of time spent traveling: 0%Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.Supervisory ResponsibilitiesThis position has no supervisory responsibilities.QualificationsTo perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.Education & Experience• Associate’s degree (A.A.) or equivalent from two-year college or technical school; and one to three years’ experience in complex healthcare contract/agreements and/or training; or equivalent combination of education and experience.• Experience in handling various aspects of billing, data integrity and collection function for a healthcare provider preferred• Knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Knowledge and understanding of claim process• Proficient in data analysis and knowledgeable of relational databases with demonstrated proficiency in report development using complex queries.Skills• Excellent organizational skills, detail oriented, ability to prioritize and multi-task and meet deadlines.• Excellent verbal and written communication skills• Advanced customer service and phone skillsComputer Skills• Intermediate Microsoft Office Suite, including Word, Excel, Access and Outlook.Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Minimum pay
USD $38,675.00/Yr.Maximum Pay
USD $56,125.00/Yr.Benefits
For more information on our industry-leading benefits, please visit our benefits page here.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Originally posted on Himalayas