Global Medical Response, Inc.

Title
Enrollment Specialist in Greenwood Village, CO
Requisition ID
2020-13485
Location
US-CO-Greenwood Village
Employment Type
Regular Full-Time

More Information about this Job

The Enrollment Specialist Associate is responsible for completing enrollment 855B forms, obtaining the necessary information and signatures for all government payors and other commercial payors, as needed.  Ensure on-going compliance is maintained with regard to Centers for Medicaid and Medicare Services (CMS) guidelines.

 

Essential Duties and Responsibilities:

  • Manage own time and work assignments effectively
  • Seek advice/feedback in terms of priorities or issues when necessary
  • Research and prepare applications for all existing and new AMR Operation locations
  • Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments, including but not limited to: Operations, Corporate Compliance, Legal, Tax, PBS, etc
  • Gather licensing from AMR Operations, for submission with corresponding enrollment applications
  • Request Certificates of Good Standing, Articles of Incorporation, and any merger and/or purchase documentation from Corporate Legal Department
  • Request a CP575/147C from Corporate Tax Department
  • Coordinate the claims submission process with PBS, including establishing a billing timeframe for new areas of operation
  • Analyze banking structure to determine if new bank accounts are required per CMS regulations
  • Complete application to establish Electronic Funds Transfer (EFT)
  • Maintain all provider files
  • Submit applications and follow-up with carriers providing additional information as requested
  • Maintain database of all licensing and vehicle registrations for all operation locations
  • Participate in internal and/or external meetings, as necessary
  • Resolve payor inquires, as necessary
  • Communicate to Management all changes in CMS enrollment requirements
  • Complete special projects as assigned
  • Perform other duties as required
  • Work in a spirit of teamwork and cooperation
  • Convey a sense of competence and commitment
  • Use initiative to learn new skills, enhance personal knowledge and improve communications
  • Demonstrate an ability to work well with Team Members
  • Communicate a willingness to help others succeed
  • Mentor peers to meet production and quality standards
  • Build relationships with AMR employees and regional payors
  • Share workspace and resources as necessary
  • Pass new-hire and department-specific testing, (e.g. data entry test and department-specific aptitude testing)
  • Flexible with shifting daily priorities
  • Meet deadlines working within tight time constraints
  • Handle a large volume of work
  • Research and analyze carrier issues to resolve any current and/or potential problems
  • Meet or exceed and sustain all established standards for productivity
  • Adhere to all company policies and procedures
  • Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.  Report information systems security problems

Minimum Qualifications:

 

Education/Licensing/Certification:

  • High School Diploma or GED required; Associates Degree in Business or a related field preferred

 Experience:

  • One year previous medical transportation or healthcare business experience required

 Knowledge and Skills:

  • CMS guidelines and the application process
  • Payor policies, requirements and necessary forms for multiple states
  • Billing and claims process
  • Merger and acquisition processes
  • Licensing requirements for all states
  • Escalation process
  • Medical transportation processes
  • Process of application signature and paperwork compliance
  • Distinctions between ALS/BLS/SCT/Wheelchair/CCT levels of service
  • Intercept process
  • When to use and how to apply a National Provider Identifier (NPI)
  • CMS carrier systems, (e.g. Electronic Data Interchange (EDI), NPI Crosswalk, PECOS, Claims Processing System)
  • HIPAA requirements
  • Maintain fluency with (working knowledge of) various tools:

-Internet navigation

-Spreadsheet, word processing/presentation tools, (e.g. Word, Excel, Power Point)

-Database and query tools, (e.g. Access, Monarch)

-Billing systems, (e.g. AM2000, AMBPAC)

-Payor’s A/P systems

  • Communicate effectively, both orally and in writing, in English

 

 

 

#GMR_Corp

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer including Veterans and Disabled

More Information about this Job

Starting Rate: $20.00 - $21.33/hourly DOE

 

The company offers benefit eligible employees medical, dental, and vision coverage as well as Paid Time Off, disability plans, paid holidays, and a 401(k) retirement plan.

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