Enrollment & Credentialing Coordinator

Tasks

• Add new locations to contracts
• Coordinate payer setup requirements with IT and EMR
• Educate providers on reimbursement and contracts
• Escalate enrollment risks
• Follow up with payers
• Maintain centralized tracking system
• Maintain credentialing database
• Manage facility address updates
• Manage provider and payer issue resolution
• Manage provider credentialing and enrollment
• Monitor enrollment timelines
• Prepare audit ready credentialing files
• Resolve credentialing related payment issues
• Submit payer portal applications
• Support internal and external audits
• Track expirations and renewals
• Update CAQH
• Update NPI TIN linkages
• Update NPI and PECOS
• Update billing and pay to addresses

Perks/Benefits

• N/A

Skills/Tech-stack

Audit preparation | CAQH | Credentialing | Cycle management | Data tracking | Database Management | EMR Integration | Healthcare Compliance | Healthcare regulations | Issue Resolution | Medicaid | Medicare | NPI | Negotiation | PECOS | Payer contracting | Payer portal | Provider enrollment | Relationship Management | Revenue Cycle | Revenue Cycle Management | Workflow Management