The Provider Enrollment Specialist II is responsible for timely and effectively enrolling practitioners in health plans. The National RCM Provider Enrollment Specialist will monitor progress, ensure timeliness of enrollment completion, and provide updates as needed to the appropriate RCM central business offices. In addition, the Provider Enrollment Specialist II will assist Management in maintaining provider enrollment goals for all divisions. The scope includes documents assignments in the Credentialing/Provider Enrollment tracking system per the department’s standard operating procedures. Knowledgeable in Provider Enrollment policies and procedures and ensuring they are being followed and keeping the loss of revenue from delayed enrollments at a minimum.  Knowledgeable in Group Entity enrollments, state regulations, mapping forms in IntelliCred and prioritizing work, reviewing and researching Health Plan Enrollment requirements at Corporate Business Office.  Applications utilized are: Excel, Word, Adobe Professional, Pediatrix Master Database, OnBase, WorkView, hCue (Entity database software), CAQH, and Credentialing/Provider Enrollment Tracking Software (IntelliCred).

      The Office-Based Billing Associate is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized.

    The Team Lead Billing & Collections Specialist is responsible for billing and collection activities as related to the patient accounting process to include verifying and ensuring balancing of daily deposits, approving credit arrangements, and reviewing open accounts receivables accounts for placement with agencies specializing in regulations as applied to the healthcare industry.   The ideal candidate will have excellent communication and customer service skills, a thorough knowledge of billing and collection activities and have the ability to effectively lead a team.    Hours: Mon & Wed: 9a-6p Tues & Thur: 10a-7p Fridays: 8a-5p Weekends Off 

   

    The Office-Based Billing Specialist is responsible for the accuracy and timeliness of billing and coding to assure the revenue cycle is optimized.

  The Billing Analyst is responsible to analyze, monitor and control billing processes through key indicator and data control reports to ensure the integrity of billing data. Applications utilized are:  Word, Excel, Crystal, OBR, GPMS, RDS, BabySteps, SounData, Onbase, E-Mail, the Internet, Master Database, and Imaging.

      Surgery Coding and Pediatric Coding experience is preferred!