Revenue Cycle Representative (Provider Enrollment) - Training, Operations, and Administrative Support Team (TOAST) - Patient Financial Services (PFS)

Tasks

• Audit Medicaid vendor requests for accuracy
• Collect provider enrollment information and forms
• Coordinate enrollment tasks with providers and payor contacts
• Create and maintain provider enrollment informational resources
• Identify trends issues and process improvements
• Maintain NPI Registry records accuracy
• Maintain billing provider records in provider enrollment database
• Manage acquisitions and practice relocations enrollments
• Monitor EPIC provider enrollment claim edit work queues
• Monitor and respond to incoming inquiry email
• Process provider enrollment mail notifications
• Review and resolve provider enrollment denials in EPIC queues
• Review out of state Medicaid claim edit follow up queues
• Submit Medicare provider group enrollments
• Submit and maintain Medicare provider enrollments
• Submit out of state Medicaid provider enrollment requests
• Submit updates revalidations and terminations for Medicare

Perks/Benefits

• Hybrid work option
• Remote work eligibility based on training

Skills/Tech-stack

Customer Service | Data Analysis | Medicaid | Medicare | Microsoft Excel | Microsoft Outlook | Microsoft PowerPoint | Microsoft Word | NPI Registry | Provider enrollment | Record Keeping