Payor Enrollment Coordinator

General Summary

Build and maintain the enrollment of providers for Children's Hospital of Chicago Faculty Practice Plan, including but not limited to the implementation, coordination, and maintenance of the Managed Care Payor Enrollment processes.

Essential Job Functions

• Responsible for the timely completion of complex government and commercial payer enrollment applications for all states
• Updating and maintaining all necessary documents for assigned clients and physicians
• Ability to proficiently communicate credentialing related claims issues to client service managers, clients, and providers
• Also assists the SCC with the initial loading of demographic data of all new Practitioners in MSOW
• Records, tracks, and reports complete status of enrollment to all stake holders internal and external
• Collaborate with providers, payers and internal departments on issues related to the provider enrollment process
• Continual collaboration with Providers, Revenue Cycle, FPP Physicians, FPP Credentialing, Human Resource and Service line leadership
• Other duties as assigned

Knowledge, Skills, and Abilities

• Must possess a high school diploma or equivalent. Completion of bachelor's degree preferred
• Minimum of 3 years' experience with research activities, preferably within healthcare setting
• Preferred prior experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity
• Strong analytical skills and ability to perform statistical analysis
• Excellent communication skills
• Excellent computer/database skills including previous experience using Crystal Report Writer or ability to learn quickly to assume these functions
• Ability to work independently
• Ability to research quality, credentialing and managed care topics

Pay

$19.50-$30.23 Hourly