Job Description
Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to preparing, sending and receiving related correspondence; assisting in resolving denials or rejections; ensuring proper payment; providing related information to Information Systems.
Job Responsibility
- Initiates and tracks enrollment and re-enrollment for new faculty practice providers with government and faculty practice contracted managed care carriers.
- Prepares, sends, and receives correspondence to providers, clinical department personnel, managed care/government carriers and others to obtain required credentialing information for government/managed care enrollment.
- Assists the System FPP business office in resolving provider related denials and rejections, and ensures proper payment for services.
- Communicates billing provider numbers and effective dates to the FPP Information Systems to ensure the billing system is updated.
- Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
- High School Diploma or equivalent required.
- 1-3 years of relevant experience, required.
Remote M-F 8am-4pm
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Skills Required
- High school diploma or equivalent
- 1–3 years of relevant experience
What We Do
Northwell Health is New York’s largest private employer and health care provider, with 23 hospitals and nearly 800 outpatient facilities. We care for over two million people annually in the New York metro area and beyond, thanks to philanthropic support from our communities. Our 74,000+ employees – 18,500+ nurses and 14,200+ credentialed physicians, including about 4,500 employed doctors and nearly 3,300 members of Northwell Health Physician Partners – are working to change health care for the better. We’re making breakthroughs in medicine at the Feinstein Institutes for Medical Research. We're training the next generation of medical professionals at the visionary Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies. For information on our more than 100 medical specialties, visit Northwell.edu. Interested in a career at Northwell Health?
