PROVIDER INSURANCE ENROLLMENT SPECIALIST WESTWOOD CONF CNTR-WAUSAU

Full Time
Wausau, WI 54401
Posted
Job description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every.Single.Day.


Aspirus is currently seeking an PROVIDER INSURANCE ENROLLMENT SPECIALIST in Wausau, WI or remote at Aspirus, Inc. The Provider Insurance Enrollment Specialist is responsible to enroll all Aspirus provider types with insurance payors to ensure proper payment for services provided from the payors. This includes enrollment into contracted and non-contracted (Government) plans processed via paper and electronic applications. This position is also responsible to ensure all information related to the enrollments is updated timely and accurately. This will require collaboratively working with various people within and outside of the Aspirus organization. This position is responsible to research various questions on claim issues relating to provider enrollment. The Provider Insurance Enrollment Specialist will be part of any requested audits to ensure provider records are up to date or that claims are being properly filed.


Hours: This position is Full Time; 1.0 FTE or 80 hours per pay period.


Experience/Qualifications

  • Knowledge of insurance billing practices normally acquired through previous experience.
  • High School graduate or equivalent required; Associate Degree in business preferred.
  • Minimum of two years in billing, credentialing, or equivalent in a medical or business office setting.
  • Proficient in database management and Microsoft Office applications preferred. These include but are not limited to Excel, Word, Access, and Outlook.
  • Must be familiar with HIPPA guidelines when communicating with others, working in patients’ accounts or chart, and in holding the integrity of the patient data. All things viewed in a patients’ chart or accounts will remain confidential in accordance to Aspirus’ policies and governmental regulations.
  • Ability to adapt and work with various insurance web-sites to find information as well as learn other systems used for this role, including but not limited to Cactus and Epic.
  • Detail orientation with a high degree of accuracy in all aspects of work.
  • Ability to use independent judgment and decision-making, and to know when questions require guidance and direction.
  • Strong organizational, written, verbal, problem solving and relationship building skills.
  • Ability to work extended hours to attend meetings and meet deadlines.
  • Ability to travel to local/regional sites and training may be required. This will include occasional overnight travel as well.

Employee Benefits

  • Full benefits packages available for part- and full-time status.
  • PTO accrual from day one!
  • Generous retirement plan with match available for all positions.
  • Wellness program for employees and their families.

Location: Aspirus Health System · REVENUE CYCLE
Schedule: Full Time, Day, 8-5 with flexibility

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