Job Details
Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus Westwood Conference Center in Wausau, WI is seeking a PROVIDER INSURANCE ENROLLMENT SPECIALIST to join our team!
The Provider Insurance Enrollment Specialist is responsible to enroll all Aspirus provider types with insurance payors to ensure proper payment for services provided from the payors. This includes enrollment into contracted and non-contracted (Government) plans processed via paper and electronic applications. This position is also responsible to ensure all information related to the enrollments is updated timely and accurately. This will require collaboratively working with various people within and outside of the Aspirus organization. This position is responsible to research various questions on claim issues relating to provider enrollment. The Provider Insurance Enrollment Specialist will be part of any requested audits to ensure provider records are up to date or that claims are being properly filed.
HOURS: Full-time or 1.0 FTE. 80 hours per two weeks pay period.
Experience/Qualifications
Knowledge of insurance billing practices normally acquired through previous experience.
High School graduate or equivalent required; Associate Degree in business preferred.
Minimum of two years in billing, credentialing, or equivalent in a medical or business office setting.
Proficient in database management and Microsoft Office applications preferred. These include but are not limited to Excel, Word, Access, and Outlook.
Must be familiar with HIPPA guidelines when communicating with others, working in patients' accounts or chart, and in holding the integrity of the patient data. All things viewed in a patients' chart or accounts will remain confidential in accordance to Aspirus' policies and governmental regulations.
Ability to adapt and work with various insurance web-sites to find information as well as learn other systems used for this role, including but not limited to Cactus and Epic.
Detail orientation with a high degree of accuracy in all aspects of work.
Ability to use independent judgment and decision-making, and to know when questions require guidance and direction.
Strong organizational, written, verbal, problem solving and relationship building skills.
Ability to handle multiple assignments.
Ability to deal with frequent interruptions.
Ability to work within a team environment.
Ability to prioritize workload.
Possess excellent communication skills.
Strong troubleshooting skills.
Possess conflict resolution skills.
Displays exceptional customer service qualities and professionalism.
Ability to work extended hours to attend meetings and meet deadlines.
Ability to travel to local/regional sites and training may be required. This will include occasional overnight travel as well.
Employee Benefits
- Full benefits packages available for part- and full-time status.
- PTO accrual from day one!
- Generous retirement plan with match available.
- Wellness program for employees and their families.
Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000 and there are also more than 24,000 annual emergency department visits. To learn more about Wausau click the following link:
Wausau, Wisconsin Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading edge cancer, trauma, women's health, and spine and neurological care.
Our Mission: We heal people, promote health and strengthen communities.
Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.
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