Job Description
The Provider Enrollment Coordinator is responsible for the enrollment of healthcare providers with health plans to minimize the possibility of delay or non-payment of claims rendered by practitioners.
Collect and maintain providers' credentials and supporting documentation for the purpose of enrolling individual providers with payers.
Complete Council for Affordable Quality Healthcare, Inc. (CAQH) credentialing process on new providers. Update, monitor, and maintain CAQH for existing providers.
Responsible for completing applications, re-credentialing applications, demographic updates and documents to each payer for processing.
Research payers for information on processes to enroll providers.
Monitor and follow up on the status of applications for providers and track progress on all pending and completed application.
Follow-up with payers for effective dates, status updates, and identification numbers for provider payment and claims to be released.
Participate in the physician onboarding process supporting credentialing and enrollment application process. Research and resolve provider related enrollment issues and coordinate with colleagues when necessary.
Maintain provider files for revalidation of Medicaid and Medicare enrollments. Ensure the timeliness of provider enrollments.
Other Duties as assigned.
Requirements
Associates degree required, prefer a Bachelor’s degree plus previous hospital business office experience Excellent verbal and written communication skills.
Exceptional organizational skills. Strong attention to detail. Ability to make independent decisions. Previous experience with files or data gathering.
Ability to prioritize and organize multiple tasks Meet established production and quality goals. Communicate and work well in a team environment.
Ability to learn new software programs quickly.
Provider Enrollment Coordinator
The Provider Enrollment Coordinator is responsible for the enrollment of healthcare providers with health plans to minimize the possibility of delay or non-payment of claims rendered by practitioners. Collect and maintain providers' credentials and supporting documentation for the purpose of enrolli...
Customer Service Representative - State Farm Agent Team Member
Establish customer relationships and follow up with customers, as needed. Use a customer-focused, needs-based review process to educate customers about insurance options. Develop leads, schedule appointments, identify customer needs, and market appropriate products and services. This is a customer s...
Customer Service Representative - Client Relations
This position involves receiving inbound calls and making outbound calls to potential customers, utilizing provided scripts and information to promote our products and services effectively. Assist customers on both inbound or outbound attempts in accordance with all applicable state and federal regu...
CSR Customer Service Representative 3rd Shift
Customer Service Representative reports to the Store Manager. Provide prompt, courteous customer service and resolve customer issues on shift. Provide Excellent Customer Service Skills in all interactions. Outstanding customer service skills. ...
Remote Administrative Assistant (No Experience Required) - Earn $25/hr-$45/hr, Full-Time/Part-Time, Flexible hours
...
Medical Receptionist Ft And Pt
Convenient Care Millbrook has Openings for experienced Medical Registration Specialist.We are looking for people with a caring energy, and a positive attitude.If you are looking for more than just a job, please apply.Schedule flexibility is a MUST.No interviews without an appointment.Please include ...
Receptionist - State Farm Agent Team Member
Are you a vibrant individual who thrives on providing exceptional customer experiences? Do you relish the opportunity to engage with the public and make a positive impact? If your answer is a resounding "yes," then embarking on a career journey with a State Farm independent contractor agen...
Medical Receptionist
Some weekends and holidays required.Full-time benefits including matching 401(k).Serve as the first point of contact for the medical front office.Greet and register patients, collect payments, discharge patients, and maintain records.Greet patients with great customer service.Answer phone calls and ...
Check-out Receptionist - Montgomery
Change patient statuses appropriately within the PM, EHR, and Clearwave systems.Clear canceled, rescheduled, and no-show patient superbills daily.Import patient medical information from the patient portal and pharmacies when available.Verify patient insurance coverage.Obtain a copy of the patient&rs...
Receptionist - State Farm Agent Team Member
Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products.Establish customer r...