Provider Enrollment Representative Details

Provider Enrollment Representative

TeamHealth - New Jersey

Employment Type : Full-Time

TeamHealth is a physician-led, patient-focused company. Founded by doctors, for doctors, our success stems from the ingenuity, dedicated teamwork and integrity of our people. Our non-clinical associates are the ones that make TeamHealth tick. Whether you have your eye on the home office or one of our locations around the country, you can find your place here.

The Provider Enrollment Representative supports the Provider Enrollment Department by performing clerical duties, special projects, and general tasks as assigned by the Supervisor. The PE Rep may help assists the Sr. Provider Enrollment Specialist and Supervisor by obtaining and coordinating all necessary provider enrollment applications for billing to various carriers.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Helps prepare application sets for mailing.
• Assists Provider Enrollment Specialist and Sr. Provider Enrollment Specialist with preparing necessary documents for issuance of provider numbers for physicians and midlevel providers.
• Assists Provider Enrollment Specialist, Sr. Provider Enrollment Specialist and Supervisor in a team effort on projects, such as new start-ups, change in business (i.e. tax ID numbers and entities) as required by carrier, or when directed by the Supervisor.
• Receives and distributes all incoming mail from the Post Office and other TeamHealth locations.
• Maintains organized group and individual provider files.
• Helps prepare applications for issuance of provider numbers for physicians and midlevel providers, makes copies, and faxes information as assigned.
• Updates information as assigned.
• Prepares W-9 forms and correspondence.
• Assists Supervisor with reports.
• Communicates information input into the IDX System and TeamWorks including new providers and updates of provider information using the appropriate forms.
• Responsible for Annual Disclosures.
• Research Revalidations.
• Responsible for payer research when requested.

REQUIREMENTS:

• Meticulous accuracy.
• Effective oral and written communication skills.
• Minimum of 45-50 WPM typing skills.
• Good Computer skills
• Good decision-making and problem-solving skills.
• Education
• Minimum high school diploma or equivalent.

Experience

• One year of experience in a business setting with fundamental clerical skills, preferably with medical or provider enrollment background.