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General information

Job Title
Specialist, Provider Enrollment
Functional Area
Teammate - Revenue Cycle
City
Remote
Work Location Type
Remote
Employment Type
Full-time (30+ hrs/week)/FULLTIME

Description & Requirements

Position Description & Requirements

practice OVERVIEW

Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.

POSITION SUMMARY

As part of the Provider Enrollment Team, this position is focuses on initiating timely government and contracted payor enrollments for radiologist on a national level.

Position Duties and Responsibilities

  • Timely initiate new government and contracted payor enrollments
  • Timely revalidate and re-enroll providers with government and contracted payors
  • Work with internal billing team and vendor to share approvals and work through denials and appeal process
  • Maintains knowledge of current payor requirements
  • Maintain and update practice enrollment software with all enrollment-related communication during the enrollment process, to include payor approval information
  • Audits payor internal directories for current and accurate provider information
  • Perform other reasonably related duties assigned by the immediate supervisor or other management personnel

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

  • Undergraduate degree preferred
  • 2+ years in a Provider Enrollment role
  • Working knowledge and understanding of the Provider Enrollment process
  • Experience with enrollment based software, NPPEs, and PECOS preferred

ยท        Proficient Medicare and Medicaid, and BUCHA multi-state payor enrollment experience desired Knowledge of CAQH preferred

  • Proficient use of Microsoft Office applications (Word, Excel, Outlook), internet resources as well as industry specific software
  • Strong interpersonal/communication skills. Ability to interact and communicate effectively with Radiology staff and contacts outside the organization
  • Detailed oriented and high degree of accuracy with the ability to effectively manage large amounts of detailed information as well as to research and analyze data
  • Strong organizational skills: ability to organize and prioritize work and manage multiple priorities
  • Excellent verbal and written communication skills including letters, memos, and emails
  • Strong Customer Service skills
  • Ability to work independently with minimal supervision, to think critically and identify the global impact across the revenue cycle with a solution oriented approach

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.

The hourly range for this position is $27-$31. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).

CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History.

Radiology Partners participates in E-verify.