Senior Provider Enrollment Representative

Sanford Health

Base: $20.50 - $33.00; bonus/equity: not specified...
Not specified
Provider enrollment activities
Hipaa related standards
Facilitate issues resolution
Sanford Health is seeking a Senior Provider Enrollment Representative to serve as a subject matter expert in provider enrollment activities. The role involves collaborating with providers on enrollment issues, analyzing billing reports, and resolving payment denials, requiring at least two years of relevant experience

Job Summary

  • Serves as the subject matter expert for provider enrollment activities and inquiries.
  • Work collaboratively with providers to facilitate issues resolution, new facility and specialty enrollments, terminations, and revalidations.
  • Analyze and review accounts to identify procedural inefficiencies and recommend improvements.

Matching Summary

Match Score: 80

Sanford Health is seeking a Senior Provider Enrollment Representative to serve as a subject matter expert in provider enrollment activities. The role involves collaborating with providers on enrollment issues, analyzing billing reports, and resolving payment denials, requiring at least two years of relevant experience.

Salary

Base: $20.50 - $33.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Provider enrollment activities
  • HIPAA related standards
  • Facilitate issues resolution
  • New facility and specialty enrollments
  • Terminations and revalidations
  • CAQH provider training

Nice-to-have

  • Subject matter expert
  • Billing personnel resource
  • Assist in special projects
  • Quality reporting on outcomes

Key Requirements

  • Minimum two years experience
  • High school diploma or equivalent preferred
  • Associate's degree preferred

Work Rights

Not specified

Tailored Resume

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