Provider Enrollment Coordinator

Job Description

The Provider Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various carriers. This position ensures all applicable documents are sent/received in a timely manner to the authorized signer and prepares/submit a completed payer application. Responsibilities also include completing all CAQH re-attestations, online applications, and re-enrollment applications.

Essential Duties And Responsibilities

• Generate “Applications Stopped in House” reports from TeamworksReview weekly exception reports from management to prioritize critical issues
• Preparing and sending applications to payers
• Completing online applications
• Documenting data in Teamworks
• Requesting IDX# from billing center/IDX maintenance
• Resolving application deficiencies
• Update management when payers request additional forms or updating PE forms
• Train staff on provider enrollment processes
• Partner with Clinician Onboarding Liaison (COL) and Credentials Coordinator (CDR)
• Support Provider Enrollment department

Requirements

• HS Diploma or equivalent; Some college preferred
• One year of experience with contracts, legal documents or other health care related work
• Proficient in Microsoft Office applications
• Meticulous accuracy
• Able to make decisions and solve problems
• Excellent communication skills (verbal and written); Ability to communicate effectively with Providers, Medical Directors and VPOs
• Excellent organizational skills with the ability to prioritize and manage multiple projects
• Able to meet challenging deadlines; ability to function in stressful situations
• Able to work in a team environment

Overtime May Be Required

Location: Remote

Working Level: Full-Time