Point of Contact, Provider Enrollment

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🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $21 - $39 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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US Acute Care Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2015

🏥 Healthcare

💊 Pharmaceuticals

📡 Telecommunications

💰 Private Equity Round on 2021-02

Healthcare • Pharmaceuticals • Telecommunications

US Acute Care Solutions is a physician-owned company specializing in the management and provision of acute care services across the United States. With a focus on emergency medicine, hospital medicine, and critical care, USACS partners with health systems to enhance patient care and improve the healthcare continuum. Annually, the company serves over 10 million patients and operates more than 500 clinical programs in 30 states, driven by a commitment to innovation, quality, and collaborative healthcare delivery.

📋 Description

• Monitor enrollment status for group and individual providers • Resolve enrollment issues by answering staff inquiries, providing recommendations, verifying payer requirements, and ensuring follow-up • Act as the primary resource for Provider Enrollment staff and escalate complex issues when necessary • Deliver coaching, training, and quality audits on assigned tasks • Track inventory and production metrics, manage workflow, and facilitate timely escalation • Engage with payers to address and resolve enrollment issues • Research and review Provider Issue Forms and determine follow-up actions • Review risks related to missing documents and ensure timely mitigation • Maintain payer enrollment matrices, SOPs, site sheets, email templates, and welcome letters • Generate and distribute reports on provider credentialing and enrollment data • Stay current on state enrollment requirements • Document enrollment and billing requirements tied to payer contracts • Support IntelliCred Application Mapping efforts • Facilitate completion and submission of payer enrollment applications for government and commercial payers • Monitor application statuses and communicate emerging issues for prompt resolution • Perform other department duties as required

🎯 Requirements

• High school diploma or equivalent required • Minimum of 2 years’ experience in healthcare provider enrollment • Experience working with government and commercial payers strongly preferred • Prior experience in a fast-paced healthcare environment is an asset • Meticulous follow-through on delegated tasks, ensuring completion, quality, and adherence to deadlines • Demonstrated leadership capabilities, including commitment to team development, adaptability to change, and alignment with organizational goals and continuous improvement initiatives • Exceptional attention to detail • Strong analytical and problem-solving skills • Ability to organize, prioritize, and manage multiple tasks efficiently • Excellent organizational skills and ability to meet deadlines • Strong communication and interpersonal skills • Proficient oral and written communication skills • Proficient in Windows and Microsoft Office programs including Outlook, Word, Excel, and Adobe Acrobat • Ability to maintain patience and composure in difficult situations • Ability to work well under pressure and meet strict deadlines • Commitment to confidentiality and handling sensitive information appropriately • Dedication to teamwork and adapting positively to change

🏖️ Benefits

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Bonus eligibility, equity, or other incentive programs, depending on the role

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