Provider Enrollment Specialist (4367) PATIENT ACCOUNTS COPR OFFI

Lexington Clinic; Kentucky; On-site; USD 25,000 - 36,000; Full time

Job summary

Lexington Clinic in Lexington, KY seeks a Provider Enrollment Specialist to manage payer enrollment under supervision. Responsibilities include completing enrollment applications, handling carrier requests, and tracking processes to ensure timely submissions.

The role requires knowledge of medical coding, enrollment procedures, and strong organizational skills. Proficiency in Word/Excel and a valid Kentucky driver’s license are preferred. Attendance is essential.

Qualifications

• High school diploma or equivalent is likely required.
• 2 years of healthcare provider enrollment experience preferred.
• Knowledge of medical coding and third-party reimbursement.
• Familiarity with medical terminology and coding procedures.

Responsibilities

• Complete and submit provider enrollment applications accurately.
• Respond to carrier enrollment and revalidations; update ownership disclosures.
• Track enrollment progress and contact carriers to expedite processing.
• Research and resolve enrollment errors and adjust accounts as needed.
• Communicate professionally; monitor workflow and support related tasks.

Skills

Healthcare enrollment

Medical coding

Third party fee profiles

Medical terminology

Typing

Verbal & written communication

Phone etiquette

Organization

Independent work

Microsoft Word

Excel

Credentialing software

Driver's license

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Job description

FT Hourly 30 to 40 hrs LC Corporate Office, Lexington, KY, US

SUMMARY:

The Provider Enrollment Specialist, under the supervision of the Assistant Director of Patient Financial Services, performs a variety of duties related to provider payer enrollment; Accurately completes and submits enrollment applications; Responds to carrier enrollment, revalidations, update requests, advance disclosures of ownership(ADO) or any other enrollment related requests; maintains accurate tracking of the enrollment process; contacts carriers to expedite the enrollment process or to correct enrollment errors. Researches and resolves enrollment/ certification claim errors and preliminary/ EDI claim submission errors; Makes account adjustments and corrections as needed; Communicates effectively and professionally; Independently monitors workflow; project and clerical assistance as needed; Other duties as assigned

PREFERRED QUALIFICATIONS:

Formal training which will probably be indicated by a high school diploma or equivalent, and a desired minimum of 2 years of health care provider enrollment experience, knowledge of medical coding; knowledge of third party fee profiles and reimbursement mechanism; knowledge of medical terminology and coding procedures; good typing skills and mathematical calculation ability; good verbal and written communication skills; good phone etiquette; Must have strong organizational skills and ability to work independently, be detail oriented, meet deadlines, and coordinate multiple projects simultaneously. Must be proficient with Microsoft Word and Excel. Knowledge of credentialing and health care claims software a plus. Must possess a valid Kentucky Driver’s License.

PHYSICAL GUIDELINES:

Physical guidelines include the ability to move, traverse, position self-remain in a stationary position and negotiate steps for up to eight hours per day; ability to lift up to 25 pound; use basic office equipment, to perform repetitive motions, and to stand/walk/sit for up to 10 hours per day. Must have visual and auditory acuity and be able to drive an automobile.

NOTE:

This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.

LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)