Job Category
Admin-Clerical, Healthcare, Insurance
External Job Title
Provider Enrollment Research Representative (REMOTE)
Location
Remote
Marketing Location
Knoxville, TN
Requirements
QUALIFICATIONS/EXPERIENCE:
- High School Diploma or equivalent required.
- Demonstrated knowledge of physician billing.
- Excellent oral and written communication.
- Computer literate.
- Excellent follow-up skills.
- Excellent organizational skills.
External Job Description and Responsibilities
JOB DESCRIPTION OVERVIEW:
This position is primarily responsible for working rejection codes linked to Provider
Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely
and efficient completion.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
This position is primarily responsible for working rejection codes linked to Provider
Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely
and efficient completion.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.
- Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.
- Report any errors or problems that affect claims from receiving payment.
- Report any claim issues identified.
- Report any carrier issues identified.
- Maintain knowledge of ETM and carrier requirements.
- Participate in weekly meeting with Manager.
- Performs other duties and assignments as requested
Career Builder
Yes
No