Provider Enrollment Coordinator

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Provider Enrollment Specialist to join our growing team.

Job Summary:

The Provider Enrollment Coordinator is dedicated to ensuring the accuracy and timeliness of updates to internal databases, prioritizing the integrity of the provider file. This role requires handling confidential information with the utmost integrity and involves the meticulous maintenance of data in both internal and external databases, serving the purpose of provider and payer enrollment.

Responsibilities:

• Cultivate professional and effective interactions with co-workers, clients, providers, and vendors.
• Respond promptly to inquiries, providing clear and comprehensive explanations of requirements.
• Maintain continuous and open communication with payer representatives to ensure the appropriate enrollment of providers.
• Exercise discretion and confidentiality when handling sensitive information.
• Act as the primary point of contact for providers navigating the enrollment process, offering guidance and support.
• Keep application information up to date in the company system, ensuring accuracy and completeness.
• Manage information and documentation with a focus on confidentiality and security.
• Meet and exceed required SLA and productivity standards.
• Strive for efficiency and effectiveness in all aspects of the provider enrollment process.
• Release individual claims for providers after thorough review and independently resubmit claims with necessary corrections.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Required Qualifications

• High School Diploma or equivalent
• 3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
• 3+ years of provider enrollment experience

Preferred Qualifications

• In-depth knowledge of provider enrollment requirements for Government agencies, payor organizations, and insurance regulations
• Proficient in rapidly acquiring proficiency in new software programs
• Substantial experience in dealing with Medicare, Commercial Healthcare insurance, and Medicaid agencies
• Demonstrated ability to effectively prioritize and organize multiple tasks
• Exceptional attention to detail
• Proven ability to thrive in a team-oriented environment, coupled with excellent organizational, writing, and oral communication skills
• Competency in Spread-sheet Design and advanced use of Excel
• Practical experience with essential computer software, including Word, Excel, and Outlook

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."