Provider Enrollment Coordinator - Remote

Tasks

• Conduct payer research
• Coordinate onboarding with Medicaid Medicare commercial plans
• Escalate credentialing and payor issues to leadership as needed
• Follow up on unreturned paperwork
• Generate payer paperwork for revalidations
• Manage provider enrollment databases and portals
• Meet with health plans to resolve enrollment and claims issues
• Obtain and maintain provider credentialing documents
• Prepare and submit payer applications
• Research state enrollment requirements and create SOP
• Review returned packets for accuracy
• Send updated credentials to payors
• Serve as point of contact for provider employment withdrawal
• Support revenue cycle and contracting with payer credentialing issues
• Track provider credentialing status with payors

Perks/Benefits

• 401k match program
• Calm subscription
• Continuing education allowance
• Life insurance
• Long-term disability
• Mental health day
• Mileage reimbursement
• PTO
• Paid maternity/paternity leave
• Short-term disability
• Training programs

Skills/Tech-stack

Availity | CAQH | Commercial Insurance | Credentialing Databases | Credentialing Portals | Cycle management | Managed care | Medicaid | Medicare | NPPES) | NaviNet | PECOS | Payer Research | Physician Enrollment | Provider credentialing | Revenue Cycle | Revenue Cycle Management | Revenue Cycle Process | SOP Development