Payer Enrollment Specialist - Full Time - Remote - Holy Cross Hospital - Trinity Health : Job Details

Full-time, Day Shift

Competitive pay, additional benefits: tuition reimbursement, free parking, employee discounts

Quality of life: flexible work schedules, remote

Advancement: professional growth within the organization

Location:remote, Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.

The Payer Enrollment Specialist contributes to the overall success of the department by independently developing relationships with third party payers, physicians and advance practice providers, across multiple clinical service lines and departments. This position will support all comprehensive processes for payer enrollment and enrollment revalidations, for both new and existing physicians and advance practice providers, including employed and contracted providers.

This position is a critical component of the professional services revenue excellence infrastructure. This individual is responsible for ensuring that payer enrollments are completed timely and that billing systems are updated immediately once approvals are received to ensure billing for services provided can begin promptly and in an accurate manner in order to reduce potential financial loss and patient dissatisfaction.

What you will need:

• Associate's Degree in related field (related experience will be considered in lieu of degree)
• 4 years' work experience, including minimum 2 years' experience in the payer enrollment or Health Care industry.
• Working knowledge of medical terminology, anatomy and physiology, medical record coding (International Classification of Diseases ICD-10, Current Procedural Terminology CPT, Healthcare Common Procedure Coding System HCPCS).
• Ability to critically analyze and apply standards to information submitted by the providers.
• Detail oriented and highly organized.
• Proficiency in Outlook, Word and Excel.
• Excellent written and oral communication skills.
• Knowledgeable on HIPAA/Confidentiality guidelines.
• Able to manage the pressures associated with setting priorities, handling a large workload, and managing workflow. Able to successfully work in a transparent environment.
• Other duties and responsibilities as deemed necessary according to business needs.
• The incumbent must have a thorough knowledge of various insurance documentation requirements, the patient accounting system, and various data entry codes to ensure proper service documentation and billing of the patient's account.

Pay Scale - $23.97 - $28.765

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.

We were named one of America's 100 Best Hospitals for 2021.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/Disabled/Veteran status.