Provider Enrollment & Productivity Specialist

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks

Shift: Days

Pay Rate Type: Annual Salary

Location: Clinics

Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.

Min = $62,613.88

Mid = $78,267.35

Max = $93,920.82

Summary

The Provider Enrollment & Productivity Specialist oversees and manages compliance of provider enrollment services and quality projects. Ensures that all new Providers are thoroughly enrolled in a timely manner including initial application from Provider, follow through with all payors to avoid processing delays, and verification that appropriate YRMC locations are attached to each Provider for billing purposes. Oversees delegated credentialing process for all new Providers including the development of organizational written policies and procedures, management of current and accurate Provider roster, and credentialing documentation for those under delegated credentialing process. Collaborates with leadership to support project management of the provider quality incentive process and is responsible for the generation, verification, and critical analysis of provider documentation to determine appropriate wRVU value to ensure accurate reporting and provider payment.

Responsibilities

Ensures that all new Providers are thoroughly enrolled in a timely manner including initial application from Provider, follow through with all payors to avoid processing delays, and verify that appropriate YRMC locations are attached to each Provider for billing purposes. Collaborates with Patient Financial Services department to ensure all enrollment documentation is in place to ensure claims are filed in a timely manner and without delays.

Manages the MD Staff Managed Care credentialing database including reporting and administrative duties for creation of locations. Manages delegated credentialing process for all new Providers, develops organizational written policies and procedures, manages current and accurate provider roster and credentialing documentation for those under delegated credentialing process.

Ensures accurate Meditract process for Provider contracts.

Responsible for the generation, verification, and critical analysis of provider documentation to determine appropriate wRVU value to ensure accurate reporting and provider payment. Present quarterly wRVU reports to providers and leadership. Responds to reporting inquiries and offers clarification and confirmation of reported data.

Other duties as assigned.

Required

• BACHELOR'S DEGREE
• 2+ years related experience

Join us at Yuma Regional Medical Center dba Onvida Health

A career at Onvida Health is more than just a job. It’s a place to have a long and rewarding career, making a difference in the lives of those in our shared community. When you join our team, you become an integral part of a thriving community committed to improving the health and well-being of everyone in southwestern Arizona.

At Onvida Health, we believe in progress with purpose. Our commitment to innovation is matched by our dedication to kindness and integrity. We take our values seriously because we know they lead to better outcomes for our patients and a better experience for all of us. We’re looking for people who approach each day with a sense of possibility, a drive to make things better, and a commitment to kindness. If that sounds like you, you’re our kind of people.

If you’re looking for a career where innovation meets compassion, where you can grow and contribute to building a healthier tomorrow, Onvida Health is the place for you.

Life in Yuma, Arizona

Yuma, recognized by Guinness World Records as the Sunniest City on Earth, offers more than just sunshine. It’s a place where the great outdoors meets a welcoming, tight-knit community. Hike scenic trails, explore the Colorado River, or immerse yourself in local cultural festivals – all while embracing the beauty of this desert oasis. With easy access to larger cities and popular destinations, Yuma makes it easy to balance a fulfilling career with time for personal adventures and relaxation.

Physical Requirements and working conditions for this position will be provided to you up on interview.