Provider Enrollment Specialist
Company: Ascension Health
Location: Troy
Posted on: January 15, 2023
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Job Description:
Details
+ Department: Provider Enrollment
+ Schedule: 8- hour day shift, Monday - Friday
+ Facility: Automated Benefit Services
+ Location: Troy, Michigan
Benefits
Paid time off (PTO)Various health insurance options & wellness
plansRetirement benefits including employer match plansLong-term &
short-term disabilityEmployee assistance programs (EAP)Parental
leave & adoption assistanceTuition reimbursementWays to give back
to your community*Please note, benefits and benefits eligibility
can vary by position, exclusions may apply for some roles (for
example: PRN, Short-Term Option, etc.). Connect with your Talent
Advisor today for additional specifics.
Responsibilities
As a Provider Enrollment Specialist, you'll oversee the completion,
submission and maintenance of provider enrollment for facilities
and physician subsidiaries seeking government reimbursement.
+ Coordinate reviews of provider applications by appropriate
departments.
+ Develop and implement business solutions and procedures to
prevent and mitigate issues and risks related to provider
enrollment reporting requirements and record keeping.
+ Develop and maintain systematic reporting processes to collect
and report relevant data required for government provider
enrollments, updates and revalidations.
+ Resolve issues related to enrollments and update as identified by
fiscal intermediaries and/or government agencies and provide timely
response to related requests for information in a timely manner to
prevent unforeseen cash flow interruptions of government
reimbursements.
+ Develop and maintain a master data file for all documentation
relating to the filing of all government provider enrollments
necessary to maintain billing compliance.
+ Serve as an expert consultant to senior leadership regarding
regulatory reporting requirements related to provider enrollments
and updates.
+ Provide analysis and recommendations concerning Medicare
provider-based designations.
Requirements
Licensure / Certification / Registration:
+ Credentialing Specialist credentialed from the National
Association Medical Staff Services preferred. Licensure required
relevant to state in which work is performed.
Education:
+ High school diploma/GED with 2 years of experience, or
Associate's degree, or Bachelor's degree required.
Work Experience:
+ 3 years of experience preferred.
Additional Preferences
Additional Preferences:
+ Administrative Healthcare experience preferred
+ FACET experienced preferred.
+ Claims processing experience preferred.
+ WORD, EXCEL, ACCESS, GOOGLE and POWERPOINT preferred.
Why Join Our Team
Ascension associates are key to our commitment of transforming
healthcare and providing care to all, especially those most in
need. Join us and help us drive impact through reimagining how we
can deliver a people-centered healthcare experience and creating
the solutions to do it. Explore career opportunities across our
ministry locations and within our corporate headquarters.
Ascension is a leading non-profit, faith-based national health
system made up of over 150,000 associates and 2,600 sites of care,
including more than 140 hospitals and 40 senior living communities
in 19 states.
Our Mission, Vision and Values encompass everything we do at
Ascension. Every associate is empowered to give back, volunteer and
make a positive impact in their community. Ascension careers are
more than jobs; they are opportunities to enhance your life and the
lives of the people around you.
Equal Employment Opportunity Employer
Ascension will provide equal employment opportunities (EEO) to all
associates and applicants for employment regardless of race, color,
religion, national origin, citizenship, gender, sexual orientation,
gender identification or expression, age, disability, marital
status, amnesty, genetic information, carrier status or any other
legally protected status or status as a covered veteran in
accordance with applicable federal, state and local laws.
For further information regarding your EEO rights, view the EEO is
the Law (https://www.eeoc.gov/poster) poster.
Pay Non-Discrimination Notice
(https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf)
Please note that Ascension will make an offer of employment only to
individuals who have applied for a position using our official
application. Be on alert for possible fraudulent offers of
employment. Ascension will not solicit money or banking information
from applicants.
This employer participates in the Electronic Employment
Verification Program. Please click the E-Verify link below for more
information.E-Verify
(https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)
Keywords: Ascension Health, Troy , Provider Enrollment Specialist, Other , Troy, Michigan
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