Coordinator-Payer Enrollment - MG CBO Credentialing

Summary

Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and / or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed / One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.

Responsibilities

• Maintains current provider profiles in the BMG Credentialing database SyMed OneApp.
• Maintains current provider profiles in the CAQH database.
• Performs primary data source verification of new providers joining BMG.
• Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment.
• Completes assigned goals.

Requirements, Preferences and Experience

Education

Preferred : Medical Billing and Coding Diploma from an accredited facility.

Minimum : High School / GED

Experience

Preferred : 2 years in a medical billing organization

Minimum : 4 years of office experience

Special Skills

Preferred : Familiarity with CAQH, NPDP, AMA. Experience with primary data source verification.

Minimum : Strong skills in communication both written and verbal

Training

Preferred : Proficient in Microsoft Office

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer :

Job Summary :

Position : 5348 - Coordinator-Payer Enrollment

Facility : BMG - Central Business Office

Department : MG CBO Credentialing

Category : Finance and Accounting

Type : Non Clinical

Work Type : Full Time

Work Schedule : Days

Location : US : TN : Memphis

Located in the Memphis metro area