Provider Enrollment Specialist 1

Posted 5 Days Ago
Be an Early Applicant
Hiring Remotely in CA, USA
Remote
21-56K Hourly
Junior
Aerospace • Transportation • Travel
The Role
Manages Medicaid, Medicare, HMO, PPO, and private insurance provider enrollment agreements and updates. Maintains provider listings, billing documentation, and standardized attachments; communicates with internal and external healthcare stakeholders to gather information and resolve pending items. Requires knowledge of payer reimbursement structures, claims processes, billing data integrity, relational databases, complex query-based reporting, and Microsoft Office.
Summary Generated by Built In
Overview

Job SummaryResponsible to analyze, prepare, review, monitor and maintain contract documents. Responsible for the processing and maintenance of all enrollment related changes and updates. Interfaces with a variety of internal and external customers, including crew members and referring/receiving hospitals. Starting pay is $20.53 hourly.

Essential Functions and Responsibilities include the following: • Manage and track all Medicaid / Private Insurance billing provider enrollment application agreements by electronic and/or by paper and ensure all agreements are keep up to date• Ensure all billing related provider enrollment application agreements include initial enrollments, changes and updates• Communicate with internal and external customers including but not limited to medical and operational crew members to gather appropriate information and report any pended information to internal leadership• Manage and maintain provider listings for Medicaid, Medicaid HMO and Private Insurance• Compile and maintain standardized company documents/attachments as appropriate• Manage up-to-date knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Other Duties as assigned.Additional Job Requirements• Regular scheduled attendance• Indicate the percentage of time spent traveling: 0%Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.Supervisory ResponsibilitiesThis position has no supervisory responsibilities.QualificationsTo perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.Education & Experience• Associate’s degree (A.A.) or equivalent from two-year college or technical school; and one to three years’ experience in complex healthcare contract/agreements and/or training; or equivalent combination of education and experience.• Experience in handling various aspects of billing, data integrity and collection function for a healthcare provider preferred• Knowledge of various PPO, HMO, Medicare, Medicaid and other payer reimbursement structures• Knowledge and understanding of claim process• Proficient in data analysis and knowledgeable of relational databases with demonstrated proficiency in report development using complex queries.Skills• Excellent organizational skills, detail oriented, ability to prioritize and multi-task and meet deadlines.• Excellent verbal and written communication skills• Advanced customer service and phone skillsComputer Skills• Intermediate Microsoft Office Suite, including Word, Excel, Access and Outlook.Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Minimum payUSD $38,675.00/Yr. Maximum PayUSD $56,125.00/Yr. Benefits

For more information on our industry-leading benefits, please visit our benefits page here. 

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Skills Required

  • Associate's degree or equivalent from a two-year college or technical school
  • One to three years of experience in complex healthcare contracts or agreements and/or training, or an equivalent combination of education and experience
  • Knowledge of PPO, HMO, Medicare, Medicaid, and other payer reimbursement structures
  • Knowledge and understanding of the claims process
  • Proficiency in data analysis and relational databases
  • Demonstrated proficiency in report development using complex queries
  • Excellent organizational, communication, prioritization, multitasking, and deadline-management skills
  • Advanced customer service and phone skills
  • Intermediate proficiency with Microsoft Office Suite, including Word, Excel, Access, and Outlook
  • Experience handling billing, data integrity, and collection functions for a healthcare provider
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The Company
HQ: Greenwood Village, Colorado
4,229 Employees
Year Founded: 1980

What We Do

Quality emergency care doesn’t begin in the hospital emergency room – it begins at the scene of the accident or the moment a life-threatening illness strikes. Air Methods has a talented workforce of over 4,500 team members, which includes the best in the air medical industry. We are pilots, clinicians, mechanics, air communications specialists, support teams and many more. We’re ready to answer the call because we know someone’s life is on the line. We dedicate ourselves around the clock to maintain equipment and supplies, coordinate logistics and relentlessly provide the tools and expertise that allow us to give more tomorrows. From the front lines to the phone lines, we believe our status as the industry leader – and the importance we place on our mission statement and core values – allow us to attract the highest level of talented professionals. More than 20% of our team members are U.S. veterans, active duty or in the reserves. Our comprehensive aviation, clinical and maintenance training is as robust as it is intense. And our continuous curriculum of learning and simulation-based training is unmatched in the industry. We are ready to save lives at every moment of every day, with over 300 bases of operations serving 48 states. In rural communities, that kind of reach of care is crucial. Emergency air medical transport and treatment is often the only access to lifesaving emergency care they have – providing access to millions of people who otherwise would not have been able to make it to a trauma center. We also operate eight maintenance centers of excellence throughout the nation and a national communications center. Although we call Greenwood Village, Colorado, home, we are only a call away.

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