• Provider Enrollment Associate

    Rochester Regional Health (Rochester, NY)


    Job Title: Provider Enrollment AssociateDepartment: Provider Enrollment Location: Riedman Campus - Onsite Schedule: Monday - Friday Days SUMMARY:Work collaboratively and maintain a professional working relationship with Payor Representatives, RGHS Information Technology, and Billing Supervisors to ensure prompt and continued enrollment, ensuring reimbursement of all services rendered by clinical team members.

    RESPONSIBILITIES:

    + Provide accurate and timely enrollment services in a prompt, professional, efficient and courteous manner, displaying STARS behavior, to RGHS employed providers and team members.

    + Offers efficiency and solutions to ensuring the accuracy of provider data and verification while maintaining files in payor enrollment software.

    + Review and validate professional qualifications of providers to guarantee completion of provider applications.

    + Collect and submit all applications timely and supporting documentation needed for submission to contracted insurance payors.

    + Complete and review provider applications for submission, protecting the confidentiality of private information contained within the applications, according to department policy.

    + Prepare and maintain reports and summaries of enrollment activities for managers.

    REQUIRED QUALIFICATIONS:

    + Effective 4/1/21: NYS Notary Public required within one year (Per Diem employees excluded).

    + Notary Public required 1 year from date of hire (Per Diem employees excluded).

    PREFERRED QUALIFICATIONS:

    + Associates degree preferred

    + Professional, positive and energetic attitude with excellent communication skills.

    + Proficient PC skills in Microsoft Office products.

    + Must be highly organized and have an extreme attention to detail.

    EDUCATION:

    LICENSES / CERTIFICATIONS:

    PHYSICAL REQUIREMENTS:

    S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

     

    For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

     

    Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

    PAY RANGE:

    $18.50 - $21.25

    CITY:

    Rochester

    POSTAL CODE:

    14617

     

    The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

     

    Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.