Cash Operations -Payer Enrollment Specialist

POSITION SUMMARY :

This position is responsible for Steward Medical Group follow up operations, meeting goals and company objectives, in assigned areas of cash posting, collections, payment validation, customer service and correspondence using the Athena web system.

Associate must ensure that all process meet all government mandated procedures for integrity and compliance. Performs all responsibilities in a prompt and efficient manner.

Must be detail oriented meeting multiple deadlines while working independently and / or in small groups. Revenue Cycle Payment Enrollment Specialist knowledge is required, and Athena experience is preferred.

The Payment Enrollment Specialist reports to the Cash operations supervisor or manager. Remote opportunity available.

KEY RESPONSIBILITIES :

• Accurately enroll or update payer enrollments across the enterprise.
• ERA / EFT / EDI enrollment.
• Reviews and Resolves W9 and pay to address task in Athena.
• Review incoming correspondence for opportunities to convert to electronic methods.
• Maintaining and reviewing the enrollment worklist.
• Work manager holds in Athena related to claims.
• Maintain documentation and reporting regarding provider enrollments in process.
• Maintains strict confidentiality and adheres to all HIPAA guidelines / regulations.
• Performs follow-up with insurance payers via phone, email, or website to resolve payer EDI / ERA / EFT issues.
• Manages and resolves request from the Enrollment Outlook inbox
• Performs other duties and special projects as assigned

REQUIRED KNOWLEDGE & SKILLS :

• 2-3 years’ experience with medical billing / collection; physician billing experience preferred.
• 2-3 years’ experience with Cash Operations including balancing, reconciliation and EOB interpretation
• Knowledge of basic medical coding / terminology and third-party insurance operating procedures and practices a plus.
• Experience with patient accounting systems and billing / claim submission software; specific Athena Health experience a plus.
• Knowledge of revenue cycle and / or business office procedures.
• Ability to utilize basic Microsoft Office programs
• Moderate to advance level of excel knowledge-including pivot tables
• Highly detail oriented and well organized.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships and communicate clearly with customers and insurance companies both within and outside of Steward.

About Steward Health Care

Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness.

One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients.

Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.