Providence St. Joseph Health

Job Information

Providence Reimbursement Regulatory Enrollment Analyst Psjh in Torrance, California

Description:

Providence St. Joseph Health is calling a Regulatory Enrollment Analyst PSJH. This role may sit in Renton, WA; Portland, OR; Spokane, WA; Torrance, CA; or Lubbock, TX.

We are seeking a Regulatory Enrollment Analyst PSJH who will be responsible for providing coordination of system-wide efforts to maintain accurate, timely, and current enrollment status with third party payers. This position is expected to have basic knowledge of Healthcare operations and third party payers, government enrollment systems or instructions, and a basic understanding of billing terms, such as NPIs, Medicare PTANs and other basic information regarding third party payers.

In this position you will have the following responsibilities:

  • Maintains enrollment documentation and location information in “source of truth” database, network folders and SharePoint.

  • Performing detailed reviews of information prepared by regional and ministry staff for enrollment submissions.

  • Submitting completed applications to the respective third party agencies and, responding to requests for information.

  • Preparing accurate, timely, and current enrollments for PSJH entities status with third party payers.

  • Research enrollment regulations, guidance and other information to submit appropriate enrollment documentation.

  • Demonstrated ability to study, understand, adapt and respond effectively to a constantly changing environment.

  • Maintaining working knowledge of third party enrollments.

  • Consulting with System, Region, and Ministry on matters of Medicare and Medicaid enrollment.

  • Identify key areas of risk in enrollment and billing and be able to escalate more complex matters.

  • Develop working relationships with the regions in order to facilitate the completion of assignments.

Qualifications:

Required qualifications:

  • Bachelor's Degree in Business, Healthcare Regulatory Strategy, Finance or Accounting or equivalent education/experience.

  • 2 years experience in Healthcare, Finance or Accounting.

Preferred qualifications:

  • 1 year experience in Enrollments or third party contracting.

  • 1 year experience in Medicare and Medicaid enrollments.

About the department you will serve.

Providence Shared Services provides a variety of functional and system support services for our Providence family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Reimbursement

Location: Washington-Renton

Other Location(s): Oregon-Portland, Washington-Spokane, Texas-Lubbock, California-Torrance

Req ID: 272516

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