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**Req Number** 159558

Job Description

Guides the processing of faculty practice provider enrollment in accordance with operational policies and procedures. Initiates and processes faculty practice provider enrollments/re-enrollments including, but not limited to correspondence; resolving denials or rejections; ensuring proper payment; providing related information to Information Systems.

Job Responsibility

+ Guides the processing of problematic faculty practice provider enrollments to ensure accuracy and completeness of the managed care/government applications.

+ Initiates and tracks enrollment and re-enrollment for high priority and new faculty practice providers with government and faculty practice contracted managed care carriers.

+ Initiates 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

+ Associate's Degree required, or equivalent combination of education and related experience.

+ 3-5 years of relevant experience, required.

*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).

The salary range for this position is $47,476-$75,012/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.