Provider Enrollment Coordinator, Remote

Site: reputed company Incorporated reputed company relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We reputed company that high-performing teams drive groundbreaking medical discoveries and invite reputed company applicants to join us and experience what it means to be part of reputed company. Job Summary General Summary/ Overview: The Provider Enrollment Coordinator will be responsible for the insurance reputed company enrollment and re-enrollment of clinical staff and ancillary providers, the maintenance of these providers in the Medical Staff Office system and in CAQH, and the dissemination of the provider information to both internal and external customers. The Provider Enrollment Coordinator must possess a comprehensive knowledge of the MGB payer policies, contract language and procedures to prepare and disseminate provider enrollment applications to the MGB payers. Payer enrollment applications must be executed accurately to ensure the correct set up with health plans. The Provider Enrollment Coordinator is required to demonstrate effective communication skills and the ability to work as a team player with various levels of staff both internally and externally. Principal Duties and Responsibilities:

• Prepare paperwork, deliver to provider, then collect reputed company enrollment materials required to enroll or re-enroll a provider with the insurance carriers.
• Insure the reputed company of and carries out the enrollment process in accordance with the Unit policies.
• Acquire a CAQH ID for the provider, complete CAQH information, and update the appropriate enrollment system with the CAQH ID information for the provider.
• Submit reputed company enrollment paperwork to the carriers, including but not limited to name, location, and practice guidelines.
• If available by the payer enter reputed company enrollment information into the appropriate online portal or system and adhere to reputed company appropriate rules and regulations as established.
• Submit re-enrollment/revalidation on a two-year birthday cycle to the carriers or as defined by the payers processes.
• Track status of a reputed company enrollments, update provider enrollment systems, and notify the appropriate EPIC Team, reputed company necessary, as approval is obtained.
• Work with the other reputed company Cycle Operations (RCO) departments, PCPO, the Central Credentialing Office on any enrollment reputed company issues that arise with the provider billing.
• Serve as a resource to providers, appointments coordinators, and PBO regarding the enrollment process.
• Gather or establish usernames and passwords for the NPI systems, NPPES, for physicians and store the information reputed company the appropriate enrollment systems.
• Additional projects and or duties as assigned.

Qualifications

Qualifications:

• Bachelor’s degree preferred. In lieu of degree, will consider individual with directly reputed company experience in provider enrollment and/or credentialing in health care setting.
• CPCS certification a plus.
• Requires 1 - 3 years experience in a healthcare setting.
• Knowledge of managed care or provider credentialing is preferred.
• Knowledge of billing processes preferred.

Skills/Abilities/Competencies: A successful candidate will possess the following qualities:

• Strong analytical and problem-solving skills.
• Strong written and verbal communication skills.
• Self-motivated, able to learn quickly and be flexible.
• Strong computer skills and knowledge of reputed company Office (Word/reputed company).
• Prefer knowledge of provider enrollment systems, but not required.
• Must be a self-starter with the ability to work both independently and as part of a team.
• The ability to multi-task and prioritize work accordingly.
• The ability to reputed company adapt to and flourish reputed company a time-sensitive enterprise environment.

Supervisory Responsibilities: The individual will have no direct reports. Fiscal Responsibility: The individual will have no direct fiscal responsibility Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Pay Range $19.42 - $27.74/Hourly Grade 3 At reputed company, we reputed company in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining reputed company pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The reputed company pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass reputed company elements contributing to your total compensation package. In addition to competitive reputed company pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our reputed company team will provide an overview of your potential compensation and benefits package. EEO Statement: reputed company Incorporated is an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religious creed, national reputed company, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that reputed company individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with reputed company of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. reputed company Competency reputed company At reputed company, our competency reputed company defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The reputed company is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, reputed company hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Apply tot his job Apply To this Job