Business Office Coordinator

AltaPointe Health is hosting Open Interviews on Thursday, August 27th from 10:00 AM – 2:00 PM at EastPointe Hospital (7400 Roper Ln, Daphne, AL 36526).

About the role

This position is responsible for working with billing and enrollment teams to manage denials and enrollment application processes for all AltaPointe Health System providers with applicable commercial, federal, and state payer plans. Provide input into internal processes within the Business Office department, ensuring timeliness and completeness of all billing outputs. Support oversight of Accounts Receivable processes, focusing on billings, collections, enrollment, and related reporting.

Responsibilities

• Oversee the production capability of the provider enrollment department.
• Plan and control effective practices to ensure all providers are enrolled accurately with applicable payers in a timely manner.
• Implement and monitor compliance with all revenue cycle and departmental-specific policies and procedures, ensuring maximum effectiveness by lowering enrollment denials and rejections.
• Respond to third-party inquiries/complaints and determine and initiate appropriate action.
• Ensure staff is productive by tracking productivity measures.
• Actively participate in all functions relating to the administrative work in coordinating the enrollment and re-enrollment process of providers with the Alabama Department of Mental Health, Medicaid, Medicare, and other third-party payers.
• Ensure accurate enrollment applications for new providers are completed in a timely manner.
• Maintain accurate information regarding re-enrollment standards for all payers.
• Ensure re-enrollment applications are submitted in a timely manner to keep providers up to date with their re-enrollment status.
• Follow up with contractual insurance carriers regarding provider/facility enrollment/termination/relocation status.
• Enroll all providers in CAQH and provide re-attestations as needed.
• Maintain the Provider Enrollment Database.
• Issue monthly reports from the database to ensure proper communication regarding provider status related to enrollment.
• Provide additional status reports and updates as needed.
• Update the appropriate provider enrollment matrix.
• Track progress of outstanding applications and inform the appropriate parties of in-network effective dates.
• Work with Human Resources to keep the database as accurate as possible.
• Communicate and coordinate efforts with outside billing companies and the AltaPointe billing department to ensure billing denials due to enrollment issues are addressed in a timely manner.
• Communicate with internal management, providers, and departments regarding the enrollment process.
• Proactively communicate with Human Resources regarding the needs/requirements of the enrollment department as it relates to providers.
• Work closely with providers to obtain necessary documentation and assist in obtaining/updating an NPI number.
• Collaborate with the billing department to resolve any provider-based denial issues related to the enrollment process.
• Communicate with appropriate billing staff regarding the status of a provider’s enrollment with individual payers; report any significant delays to management.
• Assist with the maintenance of Practitioner Enrollment forms in electronic systems in a timely manner.
• Treat consumers with care, dignity, and compassion; respect consumers’ privacy and confidentiality.
• Actively participate in Performance Improvement activities and AHS committees as requested.
• Complete assigned tasks in a timely manner and follow AHS policies and procedures.
• Receive and respond to inquiries of billing and enrollment matters promptly and courteously.
• Assist with performance of duties of other staff in periods of absence.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in business or related field; two years of related experience preferred.
• Working knowledge of MS Office (Excel, Word, etc.).
• Excellent verbal and written communication skills.
• Experience with provider enrollment, insurance billing, and/or healthcare financial operations preferred.
• Proven supervisory skills, excellent organizational skills, and attention to detail required.