Enrollment Coordinator

About the role

This role is responsible for gathering and verifying healthcare practitioner information and tracking all compliance information related to the enrollment and re-credentialing process. Responsibilities include processing incoming applications to ensure accuracy and completeness, verifying required licensing and certification documentation, and maintaining necessary file functions such as updating service locations, rendering provider information, licensure, and ownership details.

Responsibilities

• Process incoming applications to ensure accuracy and completeness
• Verify required licensing and certification documentation
• Maintain necessary file functions such as updating service locations, rendering provider information, licensure, and ownership details

Requirements

• At least two (2) years of experience in insurance verification, billing, and/or provider relations OR medical insurance verification/provider relations
• Working knowledge of insurance billing/provider operations within a large healthcare organization
• Knowledge of Medicare and Medicaid policies and procedures
• Basic proficiency with MS Word, PowerPoint, and Excel
• Knowledge of ECHO, NAVINET, and CAQH systems
• Strong critical thinking and problem-solving skills
• Solid analytical and organizational skills
• Ability to collaborate with stakeholders at all levels
• High School Diploma/GED

Qualifications

• Associate's Degree (preferred)

Benefits

• Stipends (for clinical traveler workers only)
• Medical
• Dental
• Vision
• 401K