Provider Enrollment Specialist

Employer: Vituity

Everybody Has A Role To Play In Transforming Healthcare

• If you want to be part of changing healthcare to better serve patients, you are in the right place.
• With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutions, while tackling some of the healthcare industry’s most challenging situations from the inside.

Join the Vituity Team.

• At Vituity, our core values matter. We embody a Culture of Caring by approaching every human interaction with compassion and heart.
• With a Servant Leadership philosophy, we focus on what we can accomplish when we put our patients and colleagues first.
• An Ownership Mentality means we all have mutual accountability to drive positive change for Vituity as a whole.
• Finally, our focus on Innovation enables all of us to re-imagine healthcare and bring about lasting change.
• Ultimately, we are unified around the common purpose of transforming healthcare to improve lives, and we believe everyone has a role to play in that. Help us shape the future of healthcare.

Vituity Locations: Vituity has opportunities at 450 practice locations across the country, serving 8 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

The Opportunity

• Prepare, submit, and scan provider enrollment applications for Medicare, Medicaid, Blue Cross, Blue Shield, CAQH and other payer programs as needed.
• Submit selected applications to supervisor/manager for audit, working towards not needing any applications to be audited.
• Follow up with payers on applications as frequently as every 2 weeks.
• Monitor submitted provider enrollment applications to ensure approvals are received timely, based on established best practices of Medicare in less than 3 months, Medi-Cal in less than 6 months, other Medicaids in less than 4 months, BC and BS in less than 3 months, working towards the team’s overall goal of not having pending applications over 6 months after the start date.
• Update records in Salesforce with billing numbers, contract information, submission dates of applications, and notation of any communications or problems that require attention. Records extensive documentation in databases for any ongoing or open tasks.
• Deactivate inactive providers from Medicare, Medicaid, and other payers as needed.
• Pull documents (credentials, etc.) as needed for payer requests, Payer Management team, billing company, etc.
• Serve as liaison between billing company, providers, and payer representatives to resolve all provider enrollment issues with assistance from supervisor/manager.
• Advise billing company of approvals when obtained.
• Research many payer issues and work to resolve with payers and billing company quickly and effectively so issues do not return, with oversight from supervisor/manager.
• Update and maintain the workflow for your states/practice lines.
• Participate in projects for assigned states/practice lines as needed.
• Support other team projects or duties as assigned.
• Suggest, initiate, and implement process improvement ideas for whole PE team.
• Participate in payer trainings and webinars as needed.

Required Experience and Competencies:

• Some college in combination with relative work experience.
• Bachelor’s degree preferred.
• Knowledge of billing or reimbursement preferred.
• Provider Enrollment experience preferred.

The Community

Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.

• Monthly wellness events and programs such as yoga, HIIT classes, and more
• Trainings to help support and advance your professional growth
• Team building activities such as happy hours and holiday celebrations
• Flexible work hours
• Opportunities to attend Diversity, Equity and Inclusion (DEI) events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.

Benefits & Beyond*

Vituity cares about the whole you. With our comprehensive benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%
• Outstanding Paid Time Off: Four weeks’ vacation, Paid holidays, Sabbatical
• Student Loan Repayment Program
• Professional and Career Development Program
• EAP, travel assistance and identify theft included
• Wellness program
• Commuter Benefits Program
• Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees.

APPLY HERE