PHI Air Medical
  • - 3625F - Admin-FIN-EMS-Mgmt
  • Phoenix, AZ, USA
  • Full Time 5&2

JOB SUMMARY

  • Implement and manage provider enrollments (PE), and payer web portal requirements with governmental and commercial payers.
  • Process provider enrollment applications for CMS and state Medicaid's utilizing outline guidelines within the Federal and State Programs regional requirements.
  • Perform required payer updates.
  • Attention to detail in order to facilitate obtaining the appropriate signatures and verify application accuracy prior to submission
  • Submit EMS and Business licensure applications for signature.
  • Demonstrate responsiveness and sense of urgency.
  • Requires strong communication and interpersonal relationship development with payers both for initial enrollment and for managing changes brought about by regulatory requirements.
  • Knowledge of payer policies, regulations, requirements and necessary forms for multiple states.
  • Serves as the initial contact for trouble shooting, monitoring document transmissions, and identifying opportunities for process improvements regarding government payers.
  • Communicates and works closely with Patient Financial Services, Operational and Compliance leadership and provide technical support to facilitate the prompt flow of revenue in a compliant manner.
  • Must be able to identify and develop workflow processes to meet the ever-changing regulatory requirements.
  • Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments, including but not limited to PHI Health, LLC and/or PHI Group, Inc. Corporate Operations, Corporate Compliance, Legal, Risk Management, Tax, Patient Financial Services, Aviation, Clinical and Financial Services.
  • Must have a high level of awareness of PHI Group, Inc., PHI Corporate, LLC and PHI Health, LLC organizational structure in order to provide accurate information to governmental entities assuring the correct corporation/legal entity is represented on applications.
  • Ability to train on the complexities of payer and regulatory requirements.
  • Maintain the highest level of confidentiality at all times in accordance with HIPAA guidelines and PHI Group Inc. and PHI Health, LLC policies.
  • Adhere to all departmental policies and procedures.

SCHEDULE/LOCATION

  • 5 & 2
  • Phoenix, AZ

QUALIFICATIONS/EXPERIENCE

  • High school diploma or GED equivalent required, college level or degree or certification preferred.
  • Must have 5+ years of Provider Enrollment experience
  • Knowledge of general office procedures and using office equipment.
  • Demonstrated expertise in MS Office suite software.
  • Must be able to independently prioritize and process a high volume of work.
  • Knowledge of payer policies, regulations, requirements and necessary forms for multiple states.
  • Ability to prepare and write letters to payers
  • Knowledge of Air Medical operational structure required
  • This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.

SALARY

  • Regular pay scale applies

CORE COMPETENCIES:

  • Safe -We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
  • Efficient - We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
  • Quality -We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes. 
  • Service -We are dedicated to the service of our customers, our communities and each other.

BEHAVIORAL COMPETENCIES:

  • Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
  • Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise
  • High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
  • Initiative – Takes a proactive approach and takes action without being prompted.
  • Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.

Hiring Manager: Martha Greer 

PHI Air Medical
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