Provider Enrollment Denials Specialist - Remote

Overview

Join the inspired, passionate team at Lehigh Valley Health Network as a Provider Enrollment Denials Specialist, where you will maintain positive relations with payor representatives and support the claims denial investigation process.

In Short

• Facilitate and support the releasing of provider claims.
• Expedite claims denial investigation and correction processes.
• Participate in operational discussions for workflow improvements.
• Maintain organized files on provider licenses and agreements.
• Monitor and investigate enrollment claim denials.
• Develop relationships with contract payer representatives.
• Recognize opportunities for system improvements.
• Ensure effective prioritization of tasks to meet deadlines.
• Utilize spreadsheets for tracking provider applications.
• Communicate process improvement suggestions to management.

Requirements

• High School Diploma/GED required.
• 5 years of experience in billing or health insurance.
• 5 years of experience in provider insurance with enrollment and denials.
• Effective prioritization skills.
• Knowledge of the revenue cycle process.
• Strong computer literacy skills.
• Associate’s Degree preferred.
• Ability to lift and carry 25 lbs.
• Frequent sitting/standing and keyboard use.
• Ability to perform specific activities related to patient care roles.

Benefits

• Work for a nationally recognized health network.
• Be part of a team focused on quality patient outcomes.
• Enjoy a culture of trust and collaboration.
• Opportunities for professional growth and development.
• Competitive compensation and benefits package.
• Work in a supportive environment recognized as a Great Place to Work.
• Engage in a mission-driven organization.
• Flexible work schedule options.
• Participate in initiatives aimed at improving healthcare delivery.
• Contribute to a community-focused organization.