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
Education
Bachelor of Engineering | Bachelor of Science | High School Diploma
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