Sr Provider Enrollment Coordinator

Job Description

Overview

• Manages the successful completion and submission of provider enrollment applications.
• Understands specific application requirements for each payer including pre-requisites, forms required, form completion requirements, supporting documentation and regulations.
• Maintains documentation and reporting regarding provider enrollments in process; performs follow-up as necessary.
• Works closely with credentialing staff and member hospitals to expedite completion of forms and requirements including obtaining signatures, locating required documentation, etc.
• Ensures that established provider IDs and effective dates are communicated to appropriate billing and revenue departments so claims can be processed for submission.
• Establishes and maintains close working relationships within department and with various departments across organization.

Qualifications / Experience

• HS Diploma or equivalent; some college preferred.
• One (1) year of experience with contracts, legal documents or other healthcare-related work.
• Proficient in Microsoft Office applications.
• Ability to make decisions and solve problems.
• Superior communication skills (verbal and written).
• Able to communicate effectively with Providers, Medical Directors and VPOs.
• Excellent organizational skills with the ability to prioritize and manage multiple projects.
• Meticulous accuracy.
• Able to meet challenging deadlines.
• Able to function in stressful situations.
• Able to work in a team environment.
• Overtime may be required.
• Some training and seminar attendance may require overnight travel.

Working Level

Full-Time