Provider Enrollment Specialist

Company: Ascension Health
Location: Troy
Posted on: January 15, 2023

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