Job Details

Provider Enrollment Research Representative (REMOTE)

Knoxville, TN

Job Description and Responsibilities

Job Description Overview: This position is primarily responsible for working rejection codes linked to Provider Enrollment Research role in ETM worklist. Accurately maintains production to ensure timely and efficient completion.

Essential Duties and Responsibilities:

1. Reviews and processes rejections in Provider Enrollment Research ETM role as outlined in policies. To include reviewing with carriers via web portal, carrier email, or phone call.
2. Reassigns Provider Enrollment issues to IDXC PE role for assignment to Division Provider Enrollment Department for issue resolution.
3. Report any errors or problems that affect claims from receiving payment.
4. Report any claim issues identified.
5. Report any carrier issues identified.
6. Maintain knowledge of ETM and carrier requirements.
7. Participate in weekly meeting with Manager.
8. Performs other duties and assignments as requested

Requirements

Qualifications/Experience:

• High School Diploma or equivalent required.
• Demonstrated knowledge of physician billing.
• Excellent oral and written communication.
• Computer literate.
• Excellent follow-up skills.
• Excellent organizational skills.

Remote

Admin-Clerical, Healthcare, Insurance