To perform the process of provider and group enrollment for the ARH system to include but not be limited to

individual providers, clinics and hospitals. This position will function as a liaison between the billing, patient

access, and enrollment teams to assist with denials from the insurance company.

· Preparing enrollment applications for various insurance payers for individual providers,

hospitals and clinics as well as other related entities.

· Communicating with representatives from insurance payers on the status of applications in

process or other provider enrollment issues.

· Preparing rosters with provider and group information as needed.

· Communicating with clinic managers, and other hospital and clinic staff regarding the

enrollment process and information that may be needed

· Understand specific application requirements for each payer including pre-requisites, forms

required, form completion requirements, supporting documentation (DEA, CV, etc.), and

regulations.

· Maintain documentation and reporting regarding provider enrollments in process.

· Retain records related to completed provider enrollments.

· Working denials that are provided back from the facilities and billing team to address and

complete diligent follow-up until resolution.

· Work with the billing and patient access teams to provide feedback on these denials and limit

the number by root cause analysis.

· Perform other duties as assigned.

Education

Associate Degree preferred. High School Diploma required.

Minimum Work Experience

Experience in the area(s) of provider enrollment, credentialing or billing is preferred.

· Must have two years of billing experience.

Required Skills, Knowledge, and Abilities

· Must be proficient in Windows, Word, Excel and other computer skills.

· Must be detail oriented and thorough in order to ensure the complex enrollment packages are complete and correct.

· Must be able to communicate well with a wide variety of contacts at all levels of the organization.

· Maintains strict confidentiality with regard to protected health information and provider information