Provider Enrollment Coordinator

Job Description

REQUIREMENTS

• High School Diploma or equivalent
• 3+ years of experience working in a billing, health insurance, physician practice, or equivalent operations environment
• 3+ years of provider enrollment experience

RESPONSIBILTIES

• Cultivate professional and effective interactions with co-workers, clients, providers, and vendors.
• Respond promptly to inquiries, providing clear and comprehensive explanations of requirements.
• Maintain continuous and open communication with payer representatives to ensure the appropriate enrollment of providers.
• Exercise discretion and confidentiality when handling sensitive information.
• Act as the primary point of contact for providers navigating the enrollment process, offering guidance and support.
• Keep application information up to date in the company system, ensuring accuracy and completeness.
• Manage information and documentation with a focus on confidentiality and security.
• Meet and exceed required SLA and productivity standards.
• Strive for efficiency and effectiveness in all aspects of the provider enrollment process.
• Release individual claims for providers after thorough review and independently resubmit claims with necessary corrections.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

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