Posted:
8/16/2024, 3:16:59 AM
Location(s):
Georgia, United States ⋅ Florence, Tuscany, Italy ⋅ Alpharetta, Georgia, United States ⋅ Tuscany, Italy
Experience Level(s):
Junior ⋅ Mid Level ⋅ Senior
Field(s):
Medical, Clinical & Veterinary
Workplace Type:
On-site
Overview
LocumTenens.com has been leading the way in a booming healthcare industry since 1995. Locum Tenens is a Latin phrase meaning, “to substitute for.” When hospitals are understaffed, they rely on us to find them the right temporary physicians to fill in when needed. Every associate at LocumTenens.com plays a role in getting patients seen, no matter what they studied in school or what their role is here. Located in Alpharetta, GA, we boast a state-of-the-art campus featuring world-class amenities. There’s nothing ordinary about a typical day here, take a look for yourself: https://share.vidyard.com/watch/VfMVtWsvT1pn4T6nvUZxn1.
We are a Jackson Healthcare company and we are now the second largest healthcare staffing company in the U.S., serving more than 7 million patients in over 1,400 healthcare facilities.
The Provider Enrollment Specialist facilitates the physician and mid-level enrollment applications process for Medicare, Medicaid, and commercial payers. This role is responsible for preparing and submitting supporting documentation for the purpose of enrolling individual physicians and mid-levels. This position is also responsible for follow up on the status of applications and tracking the progress on all pending applications.Prepares Enrollment Documentation and Applications – 80%
Initiates the payer enrollment process with all payers identified by client for enrollment
Completes all required applications for submission to payers
Coordinates credentialing data needed for enrollment, contracting, and other related purposes
Creates providers in CAQH ProView as necessary
Enters and updates clinician information in the database
Collects, monitors, and analyzes enrollment operations performance data relative to established goals and metrics to identify potential risks and/or areas of opportunity and prepares action plans for improvement
Focuses on enrollment related continuous process improvement to ensure optimal operation
Internal and External Liaison - 20%
Acts as liaison to CVO, clients, outside agencies, physicians, medical practice groups, health plans, etc.
Responds to internal and external inquiries on routine enrollment and contract matters
Works closely with clinicians to obtain missing documentation pertaining to provider enrollment
SECONDARY FUNCTIONS (IF APPLICABLE)
May work on special projects or other duties as assigned
SUPERVISORY/BUDGETARY/EXTERNAL COMMUNICATION RESPONSIBILITY
May communicate with clinicians, clients, and insurance providers
QUALIFICATIONS – EDUCATION, WORK EXPERIENCE, CERTIFICATIONS
High School Diploma or equivalent required. Bachelor’s Degree preferred.
3+ years of related experience required
KNOWLEDGE, SKILLS, AND ABILITIES
Ability to adhere to and exhibit the Company Values at all times
Working knowledge of Microsoft Word, Excel, PowerPoint, Outlook, and Teams
Working knowledge of CMS, PECOS, CAQH, NPPES payer credentialing software
Working knowledge of PDF editing software
Working knowledge of Salesforce
Ability to build relationships at all levels - internally and externally
Strong customer service mindset
Strong organizational and time management skills
Ability to work independently
Strong communication skills - both oral and written
Ability to work with sensitive information and maintain confidentiality
Solid critical thinking and problem-solving skills
Strong attention to detail and accuracy
What is in it for you
Company-paid benefits (Basic Life and AD&D, Short and Long-Term Disability, Employee Assistance Program, Compass Health Advocate and Transitions).
Healthcare benefit options (Value Plan, High Deductible Plan with HSA, Healthcare FSA, Dependent Care FSA, Prepaid Legal Services, 529 Savings Plan, Pet Insurance).
Paid maternity and paternity leave.
401K with 35% match for every dollar up to 8%.
PTO that accrues at a rate of 15 days/year for 1st year and continues to increase with tenure.
Tuition reimbursement for continuing education.
An opportunity to work at a state-of-the-art facility in Alpharetta which features an on-site daycare and cafeteria, world-class fitness center and wellness clinic.
EEO Statement
Locum Tenens is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Website: https://locumtenens.com/
Headquarter Location: Alpharetta, Georgia, United States
Employee Count: 251-500
Year Founded: 1995
IPO Status: Private
Industries: Health Care ⋅ Recruiting