Provider Enrollment Representative III

Company: R1 Revenue Cycle Management
Location: Southfield
Posted on: August 3, 2022

Job Description:

Shift: Days Monday Friday, Shift Hours 8:00AM-5:00PM

At R1 RCM, we deliver innovative solutions by bringing together the best people and technologies that enable providers to simplify the healthcare experience. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our 22,000+ global associates are given valuable opportunities to contribute, innovate, and create meaningful work that makes an impact in the communities we serve around the world. Interested? Learn more, visit: r1rcm.com/careers

Job Summary: The Provider Enrollment (PE) Representative II is responsible for the timely and successful submission and completion of government and commercial insurance enrollment paperwork for assigned physician groups and providers so revenue collection is not delayed.

Position reports to: Director of Provider Enrollment or another Supervisory role

Responsibilities:

* Ensure all insurance applications are up to date and accurately completed in a timely manner to minimize loss of revenue due to delayed enrollments.
* Assist providers with completion of the application, routinely follow up with insurance carriers to monitor the status of applications and resolve issues.
* Enter physician data into credentialing/billing system
* CAHQ maintenance and attestations every 120 days, ensuring information is up to date and accurate
* Achieve monthly quality and productivity standards
* Compliance with R1 policies
* Other duties as assigned

Qualifications:

* 0-2 years of experience in provider enrollment, contracting or insurance
* High School Diploma or equivalent
* Ability to safely and successfully perform essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards

Skills/ Knowledge Requirements:

* Strong organizational skills and an ability to work with minimum supervision
* Ability to communicate in the English language clearly and concisely, both in writing and on the phone
* Project a professional and helpful attitude
* Knowledge of Microsoft Word, Outlook, and Excel, and general office skills

Core Competencies:

Instills Trust

* Maintains honesty, integrity and authenticity in all work, and gains the confidence and trust of others by doing so.
* Shows up to work on time, meets deadlines, and follows instructions, policies, and procedures.
* Uses available time and resources to the best of their ability.
* Acknowledges and corrects mistakes, and doesn't make excuses for errors or problems.

Situational Adaptability

* Adapts to match the shifting demands of the organization when confronted by different situations.
* Responds positively to change and embraces new practices or methods when trying to accomplish goals and solve problems.
* Continues to make progress when things are unclear or not yet finalized.
* Recovers quickly from setbacks, and finds alternative ways to reach goals or targets.

Nimble Learning

* Networks and uses multiple resources to identify opportunities for growth and development.
* Actively learns through experimentation when tackling new problems and sees successes and failures as opportunities to learn and grow.
* Seeks and uses feedback to improve performance, while also acquiring new competencies, work methods, ideas, and information to improve effectiveness and efficiency.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:

* Comprehensive Medical, Dental, Vision & RX Coverage
* Paid Time Off, Volunteer Time & Holidays
* 401K with Company Match
* Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
* Tuition Reimbursement
* Parental Leave

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

To learn more, visit: R1RCM.com

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:

* Comprehensive Medical, Dental, Vision & RX Coverage
* Paid Time Off, Volunteer Time & Holidays
* 401K with Company Match
* Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
* Tuition Reimbursement
* Parental Leave

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

To learn more, visit: R1RCM.com

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Keywords: R1 Revenue Cycle Management, Southfield , Provider Enrollment Representative III, Other , Southfield, Michigan