Payer Enrollment Coordinator, Department of Medicine

Position Summary

The is seeking applicants for a full-time Payer Enrollment Coordinator . The Payer Enrollment Coordinator is responsible for credentialing of providers with insurance carriers, as well as timely follow-up and tracking status of provider malpractice applications, licenses, and DEA.

They are responsible for :

• Overall oversight of payer enrollment in at least sixteen (16) different insurance companies to ensure that their clinical services can be billed for.
• Initial credentialing of providers with insurance carriers, as well as recredentialing in a timely manner.
• Process initial and annual provider malpractice applications. Performs appropriate and timely database management of applications in order to cancel or update, when applicable.
• Maintains updated CAQH files, IntelliApp files, and provider rosters.
• Communicates with insurance carriers to ensure that all provider information is accurate and current.
• Coordinates credentialing with Kaleida, ECMC and other entities as needed.
• Enroll providers in Pecos and ePaces.
• Works with human resources department for onboarding as it relates to new provider credentialing.
• Ensures that ETIN’s are updated with Medicaid and ePaces. Submit group / provider Medicaid and Medicare revalidation when due.
• Maintains confidentiality and adheres to all HIPAA privacy rules and policies.
• Communicate with providers to enlist the proper documentation needed for credentialing and any issues that arise with the payers.
• Communicates with the billing department to resolve issues, as needed.
• Communicate with division / site designees regarding licenses and DEA information in order to ensure all records are updated in EMR.

We are committed to a professional environment that is positive, respectful, cohesive, and supportive of cultural and individual differences in the service of our clinical and academic goals.

Additional Information :

Learn more about what it looks like to be a part of the

University at Buffalo is an affirmative action / equal opportunity employer and, in keeping with our commitment, welcomes all to apply including veterans and individuals with disabilities. Minimum Qualifications

• High School Diploma required. Associate’s Degree preferred.
• Minimum of two (2) years’ administrative experience, preferably in a health care setting (. front desk, biller / coder).

Preferred Qualifications Knowledge of insurance and health care terminology preferred. Excellent communication and organizational skills, as well as attention to detail.

Physical Demands Salary Range $20 - $22 hourly Additional Salary Information The salary range reflects our good faith and reasonable estimate of the possible compensation at the time of posting, the role and associated responsibilities, and the experience, education, and training of the selected candidate.

Type Full-Time Campus Off site location Posting Alerts Special Instructions Summary All applicants must apply via UB Jobs.

Is a background check required for this posting? No Background Check Notification