Description
Job Description
Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and receiving related correspondence; assisting in resolving denials or rejections; ensuring proper payment; providing related information to Information Systems.
Job Responsibility
- Initiates and tracks enrollment and re-enrollment for new faculty practice providers with government and faculty practice contracted managed care carriers.
- Prepares, sends, and receives correspondence to providers, clinical department personnel, managed care/government carriers and others to obtain required credentialing information for government/managed care enrollment.
- Assists the System FPP business office in resolving provider related denials and rejections, and ensures proper payment for services.
- Communicates billing provider numbers and effective dates to the FPP Information Systems to ensure the billing system is updated.
- Performs related duties as required.
- All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act.
- Duties not mentioned here, but considered related are not essential functions.
Job Qualification
- High School Diploma or equivalent required.
- 1-3 years of relevant experience, required.
- Remote M-F 8am-4pm
Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).