Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks
Pay Rate Type: Annual Salary

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 = $62,613.875
Mid = $78,267.344

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.

Why Yuma Regional Medical Center?

Yuma Regional Medical Center (YRMC) is located in Yuma, AZ. Our purpose is building a healthier tomorrow. We strive by putting patients first as they are the center of every decision and action we take. YRMC is rooted in the community by living and breathing the dynamic nature of our region. Being committed to progress by constantly and consistently advancing healthcare, creating meaningful experiences and improving the lives of everyone around us.

Our Values

Bring Kindness | Achieve Together | Aspire For Better | Do The Right Thing | Lead With Optimism |

About Yuma, AZ

Named by the Guinness World Records as the Sunniest City on Earth with winters averaging temperatures of 70 degrees, sunny days and cooler nights.

Yuma, Arizona is a place to explore the great outdoors with hiking, jet skiing, boating and off-roading. Don’t forget to soak up the sun at the great Colorado River or one of Yuma’s many lakes.

Yuma is centrally located in Southwest Arizona, within a short drive to many popular attractions and destinations.

https://www.visityuma.com/

https://www.yumachamber.org/

Bring your skills to one of the sunniest places on earth - Yuma, AZ!

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.

Other information:

REQUIRED: 2+ years related experience

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

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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