Northwell Health

Provider Enrollment Representative

Northwell Health

New York, NY, USA
Full-TimeDepends on ExperienceEntry LevelHigh school or equivalent
Job Description

Welcome to Northwell Health, where our mission is to improve the health and well-being of the communities we serve. We are currently seeking a Provider Enrollment Representative to join our dynamic team. In this role, you will play a crucial role in ensuring that our healthcare providers are properly enrolled with various insurance plans, allowing them to deliver high-quality care to our patients. We are looking for a detail-oriented and highly organized individual with a strong understanding of insurance enrollment processes. If you have a passion for healthcare and a drive to make a difference, we encourage you to apply.

  1. Facilitate the enrollment process for healthcare providers with various insurance plans.
  2. Ensure accurate and timely enrollment of providers to avoid any disruptions in patient care.
  3. Maintain up-to-date knowledge of insurance enrollment processes and requirements.
  4. Communicate effectively with healthcare providers to obtain necessary information and documentation for enrollment.
  5. Collaborate with internal teams to ensure all necessary paperwork and processes are completed for enrollment.
  6. Monitor and track the status of provider enrollments and follow up as needed.
  7. Identify and resolve any issues or discrepancies in enrollment applications.
  8. Maintain accurate and organized records of all enrollment activities.
  9. Assist with credentialing and re-credentialing processes for providers.
  10. Provide excellent customer service to healthcare providers and address any inquiries or concerns regarding enrollment.
  11. Stay informed of any changes or updates in insurance enrollment processes and communicate them to relevant parties.
  12. Work closely with third-party payers and insurance companies to ensure accurate and timely enrollment.
  13. Adhere to all privacy and confidentiality guidelines when handling sensitive provider information.
  14. Participate in training and professional development opportunities to enhance skills and knowledge in insurance enrollment.
  15. Contribute to the overall mission of Northwell Health by promoting high-quality care and improving the health and well-being of the communities we serve.
Where is this job?
This job is located at New York, NY, USA
Job Qualifications
  • Knowledge Of Provider Enrollment Processes: A Provider Enrollment Representative At Northwell Health Should Have A Thorough Understanding Of The Provider Enrollment Process, Including Medicare, Medicaid, And Private Insurance Plans.

  • Familiarity With Healthcare Regulations: Northwell Health Operates In A Highly Regulated Industry, So A Provider Enrollment Representative Should Have Knowledge Of Healthcare Regulations, Compliance, And Accreditation Standards.

  • Strong Communication And Interpersonal Skills: As A Representative Of Northwell Health, The Provider Enrollment Representative Must Possess Excellent Communication Skills To Effectively Interact With Providers, Insurance Companies, And Internal Teams.

  • Attention To Detail: Provider Enrollment Involves Handling A Large Volume Of Data And Paperwork, So A Provider Enrollment Representative Must Have A Keen Eye For Detail To Ensure Accuracy And Completeness Of Information.

  • Time Management And Prioritization Skills: The Ability To Manage Multiple Tasks And Prioritize Effectively Is Crucial For A Provider Enrollment Representative At Northwell Health, As They Will Be Responsible For Processing A High Volume Of Provider Enrollments Within Strict Deadlines.

Required Skills
  • Data Entry

  • Communication

  • Time Management

  • Attention to detail

  • Organizational Skills

  • customer service

  • Medical Terminology

  • Problem-Solving

  • Multi-tasking

  • Insurance Knowledge

  • Billing And Coding

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Creative Thinking

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Provider Enrollment Representative in New York, NY, USA is $43,000 to $60,000 per year. This range may vary depending on factors such as experience, qualifications, and the specific company or organization hiring for the position. Additionally, salaries may be higher in certain industries, such as healthcare, compared to others.

Additional Information
Northwell Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedSeptember 6th, 2024
Apply BeforeJune 9th, 2026
This job posting is from a verified source. 
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About Northwell Health

Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 68,000 employees in 2019.

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