Provider Enrollment Specialist, Senior - Phoenix, AZ - Sign on Bonus up to 7,500

Provider Enrollment Specialist, Senior - Phoenix, AZ

Sign on Bonus up to $7,500

Join Our Life-Saving Team in Phoenix, Arizona!

Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our Patient Financial Services Team 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.

JOB SUMMARY

• Implement and manage provider enrollments (PE), and payer web portal requirements with governmental and commercial payers.
• Process provider enrollment applications for CMS and state Medicaids utilizing outline guidelines within the Federal and State Programs regional requirements.
• Perform required payer updates.
• Attention to detail in order to facilitate obtaining the appropriate signatures and verify application accuracy prior to submission
• Submit EMS and Business licensure applications for signature.
• Demonstrate responsiveness and sense of urgency.
• Requires strong communication and interpersonal relationship development with payers both for initial enrollment and for managing changes brought about by regulatory requirements.
• Knowledge of payer policies, regulations, requirements and necessary forms for multiple states.
• 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, Operational and Compliance leadership and provide technical support to facilitate the prompt flow of revenue in a compliant manner.
• 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, 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.
• Ability to train on the complexities of payer and regulatory 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 departmental policies and procedures.

SCHEDULE/LOCATION

• 5 & 2
• Phoenix, AZ

• High school diploma or GED equivalent required, college level or degree or certification preferred.
• Must have 5+ years of Provider Enrollment experience
• Knowledge of general office procedures and using office equipment.
• Demonstrated expertise in MS Office suite software.
• Must be able to independently prioritize and process a high volume of work.
• Knowledge of payer policies, regulations, requirements and necessary forms for multiple states.
• Ability to prepare and write letters to payers
• Knowledge of Air Medical operational structure required
• This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.

SALARY

• Regular pay scale applies

CORE COMPETENCIES:

• Safe -We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
• Efficient - We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
• Quality -We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
• Service -We are dedicated to the service of our customers, our communities and each other.

BEHAVIORAL COMPETENCIES:

• Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
• Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise
• High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
• Initiative – Takes a proactive approach and takes action without being prompted.
• Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.