Provider Enrollment Coordinator
United States-Ohio-Chesterland
USD 40K-60K (estimate) Mid-level Full Time
Tasks
- Advise management on enrollment delays
- Analyze provider enrollment reports for timeliness
- Collaborate with delegation managed care central billing teams
- Complete provider enrollment applications electronically
- Complete provider revalidations
- Follow up with payers for provider identification numbers
- Follow up with providers on enrollment documents
- Link providers to groups in billing system
- Maintain communication records with payers and physicians
- Maintain delegated credentialing roster data
- Reconcile delegated credentialing program provider issues
- Research insurance issues and payer requirements
- Resolve claim edits and enrollment denials
- Update and reattest CAQH for providers
Perks/Benefits
- N/A
Skills/Tech-stack
Acrobat Professional | Adobe Acrobat | Adobe Acrobat Professional | Billing system | CAQH | CMS | Claim edits | Credentialing | Delegated Credentialing | Electronic Billing System | Electronic billing | Managed care | Medicaid | Medicare | Microsoft Excel | Microsoft Office | NCQA | Payer Denials | Provider Revalidation | Provider enrollment
Education
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