Provider Enrollment Specialist

About the role

PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Job Summary: In order to facilitate the prompt and accurate payment of submitted claims the Provider Enrollment Specialist must develop, coordinate, implement and manage provider enrollment (PE), electronic data interchange (EDI), electronic funds transfer (EFT), electronic remittance advice (ERA) and payer web portal requirements with governmental and commercial payers. Must demonstrate outstanding attention to detail skills in order to facilitate obtaining the appropriate signatures and verify application accuracy prior to submission. Requires strong communication and interpersonal relationship development with payers both for initial enrollment and for managing changes brought about by regulatory requirements. Develop in-depth knowledge of payer policies, regulations, requirements and necessary forms for multiple states. Must be able to navigate a myriad of payer systems to understand specific process requirements as well as utilize the specific on-line tools for managing the status of enrollments, electronic claims status, remittances, payments and clearinghouse activities. Serves as the initial contact for trouble shooting, monitoring document transmissions, and identifying opportunities for process improvements regarding government payers. Communicates and works closely with Patient Financial Services, Cash Posting, GE Billing Services, Operational and Compliance leadership and provide technical support to facilitate the prompt flow of revenue in a compliant manner. Must be able to independently prioritize and process a high volume of work. Must be able to identify and develop workflow processes to meet the ever-changing regulatory requirements Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments Departments, including but not limited to PHI Health, LLC and/or PHI Group, Inc. Corporate Operations, Corporate Compliance, Legal, Risk Management, Tax, Patient Financial Services, Aviation, Clinical and Financial Services. Must have a high level of awareness of PHI Group, Inc., PHI Corporate, LLC and PHI Health, LLC organizational structure in order to provide accurate information to governmental entities assuring the correct corporation/legal entity is represented on applications. Develop and maintain database of all EMS licenses for all base locations to assure consistency with submitted documentation. Must be able to identify, develop and conduct audits of and for Provider Enrollment and Patient Financial Services. Must have excellent communication skills to train on the complexities of payer and regulatory requirements. Communicate to management all changes in Medicare/ Medicaid/Tricare/HIS and all other federal payer enrollment requirements. Maintain the highest level of confidentiality at all times in accordance with HIPAA guidelines and PHI Group Inc. and PHI Health, LLC policies. Adhere to all PHI Group, Inc. and PHI Health, LLC policies and procedures. Demonstrate responsiveness and sense of urgency when dealing with payers and internal customers. Possess the ability to initiate and follow through on detailed regulatory requirements. Complying with Company HS&E policy and procedures. Responsible for supporting company Safety Management Systems activities. Understands and provides visible support of Destination Zero. Perform other duties as assigned. Schedule/Location: 5 & 2 Phoenix, AZ The Successful Candidate Will Have: High school diploma or GED equivalent required. Previous provider enrollment expe

Benefits

Additional Information

Join Our Life-Saving Team and take advantage of: Sign on bonus up to $7,500! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. With PHI Health you'll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.

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