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Changing health care
to improve quality of
life for all.

Beth Israel Lahey Health’s roots in providing top-quality health care date back nearly a century. We're fully committed to ensuring our patients receive the care they deserve. As a leading healthcare provider throughout New England, we aim to change the current state of health care for the better and make lasting improvements that guarantee access to our services.

Enrollment Specialist

Westwood, Massachusetts

Organization Facility: Beth Israel Lahey Health Performance Network Category: Payer Relations Job ID: JR53778 Date posted: 06/19/2024
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Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Description:

Under the direction of the Manager, Provider Enrollment and Reporting, the government payer enrollment specialist is responsible for the enrollment of both individual providers and groups/locations with non-commercial payers (Medicare, Medicaid). 

The provider enrollment process ensures that the appropriate provider enrollment numbers are obtained for both individual providers and groups/locations enabling the organization to bill provider charges in a timely manner and ensure clinicians have the ability to order, refer, and prescribe as necessary. This includes initiating the enrollment process from notification that a new individual providers or groups/locations will be added to the network and collaborating with multi-disciplinary on-boarding group and the practitioner to complete the application process.

Primary Responsibilities:

  • Serve as the primary point for all data entry into the BILHPN database as it relates to responses from the health plans. Load all rosters into the database to ensure accuracy.

  • Assist the Enrollment team with scanning all paper files into an electronic database and shredding of paper files.

  • Maintain accuracy and completeness of BILHPN database in accordance with uniform nomenclature.

  • Ensure that provider participation in the health plans is current and accurate for publication in the health plan websites, Find A Doctor website, the Beth Israel Deaconess Medical Center Referral Guide and the BILHPN Provider Directory. Upon receipt of approval, the enrollment assistant will verify via the plan website the accuracy of the submitted application.

  • Maintain the Enrollment electronic mailbox with assistance from Senior Enrollment staff on an as needed basis

  • Contact the insurance companies for follow up on outstanding enrollments.

  • Assists in department projects as needed.

Required Qualifications:

  • High School diploma or GED required.

  • 0-1 years related work experience required in Data Entry related experience..

  • Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Preferred Qualifications:

Knowledge of Medicare, Medicaid and health plan credentialing, re-credentialing and enrollment process; licensure requirements and regulations of various agencies such as the board of Registration in Medicine, American Board of Medical Specialties and Individual Specialty Boards preferred normally acquired through related work experience.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled

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Why join Beth Israel Lahey Health?

If you’re looking for a career where you can make a difference and explore your potential, Beth Israel Lahey Health is the place you belong. Our system includes a network of hospitals, physician practices, outpatient centers, and other healthcare facilities and we offer a broad range of careers in direct patient care, environmental services, registration, finance and many other fields. We are focused on providing compassionate and personalized healthcare with a strong reputation for clinical excellence and research and offer diverse opportunities for career growth and development. Conveniently, we have many locations in communities across Eastern Massachusetts and Southern New Hampshire.

At Beth Israel Lahey Health, we see you for all that you are – your experience and your dreams. Explore our open opportunities and find out why so many have already chosen to join our team.

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