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Provider Enrollment Representative

Georgetown University Hospital

Washington, DC
Job Code:
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Georgetown University Hospital
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Job Details

Provider Enrollment Representative at Medstar Georgetown University Hospital

Provider Enrollment Representative

MedStar Physicians' Billing Services

Regular Full-Time




Position Summary:  Performs all activities related to provider enrollment with third party payers, managed care networks and PUBS-directed activities related to delegated and centralized credentialing requirements -- including timely and accurate enrollment of all new providers into existing third party contracts, enrollment of existing providers into new contracts, maintenance of existing providers in current contracts.  Maintains accurate and complete information in the IDX Provider and Referring Physicians Dictionaries and PUBS Provider Enrollment Database.  Acts as liaison with GUH clinical departments to ensure optimal flow of information between the providers and PUBS.

These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital's philosophy, policies, procedures and standards.


Required Education and Training: Associate Degree with Bachelors Degree preferred



Required Experience: Medical billing experience with IDX billing system and provider enrollment and/or credentialing in the health care field preferred -- preferably in an academic medical center. Outstanding critical thinking and analytical skills, End-user computer skills with Microsoft Office package, Proficiency with Microsoft Access database software, capabilities and uses, Excellent multi-tasking skills with proficiency with Microsoft Access database software designs and query language preferred.



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