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Role Description

Responsible 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.

• Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are kept 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.

Qualifications

• 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.

Requirements

• Regular scheduled attendance.
• Indicate the percentage of time spent traveling: 0%.

Benefits

• For more information on our industry-leading benefits, please visit our benefits page.