Provider Enrollment Coord

Summary

Coordinates and completes all provider enrollment activities for enrolling new and locum tenens providers, as well as re-credentialing activities for existing providers within the Physician Enterprise.

Communicates with payers, providers, Practice Managers, Physician Recruitment and Administration on issues and progress of enrollment activities.

The timeliness and quality of the enrollment process has direct financial impact on the Physician Enterprise, and on provider and patient satisfaction.

Responsibilities

• (65%)*
• Facilitates and conducts all administrative activities related to the provider enrollment process ensuring their proper and timely completion.
• Keeps team members and other stakeholders informed of progress on enrollment process by electronic or verbal means.
• Requires excellent organizational, communication and computer skills.
• (25%)*
• Acting as a specialist in the complex MyMichigan Physicians Group provider enrollment process, has the authority to make independent decisions within the scope of responsibilities and in accordance with provider enrollment policies and procedures through analyzing, comparing and evaluating various courses of action.
• (10%)*
• Demonstrates competency in Visual Cactus database to conduct queries, creation, and production of reports.
• OTHER DUTIES AND RESPONSIBILITIES: P erforms various duties as assigned including, but not limited to:  generating reports, letters, document reproduction, and scanning.
• Supports the Physician Enterprise as needed on short-notice provider start-ups.
• Accountability for comprehensive files management, retention, security and integrity according to record retention policies and regulatory requirements.
• Serves as a major resource for providers, office staff, management, administration and payers for provider enrollment activities.
• All other duties as assigned.
• Certifications and Licensures
• N/A Required Education
• High school diploma or GED is required
• Associate degree preferred or combination of education and experience.
• Other Information
• EXPERIENCE, TRAINING AND SKILLS: Demonstrated excellent interpersonal, problem-solving, and communication skills, both written and oral.
• Excellent organizational and multi-tasking skills.
• Ability to work effectively, cooperatively, and with a diverse group of clinical providers and staff.
• Must be a team player.
• Must be extremely accurate and detail oriented, along with the ability to handle multiple tasks and priorities simultaneously with numerous interruptions.
• Must be able to exercise good judgment and work under pressure, with strong time management skills.
• Pride and ownership of assigned responsibilities and demonstrated ability to work independently with a positive attitude.
• Demonstrated competency with Microsoft computer programs and Internet applications.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material.  Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling.  May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Responsibilities

• (65%)*
• Facilitates and conducts all administrative activities related to the provider enrollment process ensuring their proper and timely completion.
• Keeps team members and other stakeholders informed of progress on enrollment process by electronic or verbal means.
• Requires excellent organizational, communication and computer skills.
• (25%)*
• Acting as a specialist in the complex MyMichigan Physicians Group provider enrollment process, has the authority to make independent decisions within the scope of responsibilities and in accordance with provider enrollment policies and procedures through analyzing, comparing and evaluating various courses of action.
• (10%)*
• Demonstrates competency in Visual Cactus database to conduct queries, creation, and production of reports.
• OTHER DUTIES AND RESPONSIBILITIES: P erforms various duties as assigned including, but not limited to:  generating reports, letters, document reproduction, and scanning.
• Supports the Physician Enterprise as needed on short-notice provider start-ups.
• Accountability for comprehensive files management, retention, security and integrity according to record retention policies and regulatory requirements.
• Serves as a major resource for providers, office staff, management, administration and payers for provider enrollment activities.
• All other duties as assigned.

Qualifications

• EXPERIENCE, TRAINING AND SKILLS: Demonstrated excellent interpersonal, problem-solving, and communication skills, both written and oral.
• Excellent organizational and multi-tasking skills.
• Ability to work effectively, cooperatively, and with a diverse group of clinical providers and staff.
• Must be a team player.
• Must be extremely accurate and detail oriented, along with the ability to handle multiple tasks and priorities simultaneously with numerous interruptions.
• Must be able to exercise good judgment and work under pressure, with strong time management skills.
• Pride and ownership of assigned responsibilities and demonstrated ability to work independently with a positive attitude.
• Demonstrated competency with Microsoft computer programs and Internet applications.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material.  Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling.  May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.