Provider Enrollment Quality Auditor Virtual in Brentwood, TN at Parallon

Date Posted: 5/30/2018

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. 

As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting. 

Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.  



Provider Enrollment Quality Auditor

Job Summary – The Provider Enrollment Quality Auditor is responsible for performing quality reviews and audits of the provider enrollment staff. This includes coordination with department operation managers to ensure standards are met in accordance with department and organization policy. Additionally, this team member contributes to improving the processes and infrastructure of the department. Proficient in facilitation and interpersonal communication,
this team member also consistently demonstrates skills in organization, prioritization, professionalism and coaching others.

Supervisor – Provider Enrollment Manager

Supervises – None

Duties (included but not limited to)
 Perform regularly scheduled quality reviews and audits per departmental policies and procedures
 Perform ad hoc quality reviews and audits as requested by management
 Assist operation managers with questions and concerns
 Complete special projects as assigned by management
 Communicate appropriately with department operation managers
 Assist operation manager with developing team goals and action plans as it relates to quality
 Identify and communicate to management educational opportunities
 Maintain working knowledge of workflow, systems, and tools used in the department
 Assist in creation and maintenance of a positive working environment, including effective communication and setting an appropriate professional example
 Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
 Other duties as assigned

Knowledge, Skills, and Abilities
 Organization - proactively prioritizes needs and effectively manages resources
 Communication - communicates clearly and concisely, verbally and in writing, utilizing proper punctuation and correct spelling
 Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
 Interpersonal skills - able to work effectively with other employees, patients, and external parties
 PC skills - demonstrates proficiency in Microsoft Office applications and others as required
 Leadership - guides individuals and groups toward desired outcome by providing training, advice, and feedback to assist/support employees in achieving established performance standards
 Tactical execution - assist in monitoring operational processes and making
recommendations for changes/adjustments as needed during the implementation or change to new products or processes
 Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures, and systems
 Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes; able to work quickly and accurately in a fast-paced environment while managing multiple demands; able to work both independently and collaboratively as a team player; demonstrates adaptability, analytical and problem solving skills, and attention to detail; and able to perform basic mathematical calculations, balance and reconcile figures, and transcribe accurately

Education
High school diploma or GED required

Experience
Minimum one year related healthcare experience required. Relevant education may substitute experience requirement. Prior experience in provider enrollment and quality auditing preferred. Advanced Excel skills highly preferred.

Certificate/License
None

Physical Demands / Working Conditions– Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or
hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.


OSHA Category– The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid, or to be potentially exposed in some other way.