Enrollment Coordinator

Cumberland, WI - USA

Monthly Salary: Not Disclosed

Posted on: 3 hours ago

Vacancies: 1 Vacancy

Job Summary

Here are the job details for your review:

Job Title: Enrollment Coordinator

Duration: 10 Months Contract (Potential for extension)

Location: 200 Highland Corporate Drive Cumberland RI USA 02864

Pay Rate: $24.99/ HR on W2

shift times: Mon - Fri 7:30am - 4:00pm

PRESCREEN THAT NEEDS TO BE AT TOP OF EACH RESUME:

Location at tope of resume
Medicare experience If yes how many years of exp and a brief summary of exp
Medicaid experience If yes how many years of exp and a brief summary of exp
Brief summary of candidates excel experience

Notes from Spotlight Call:

Position Title: Enrollment Coordinator
Department: Payer Enrollment Government Payers (Medicare/Medicaid)
Location: On-site required due to physical mail handling

JOB DESCRIPTION:

This position is responsible under the supervision of the Manager of the Payer Enrollment Dept. to:
Ensuring timely and accurate processing of Payer Enrollment applications (Initial and Revalidations) for Clinics and Providers.
Provide quality control for timely and accurate individual enrollment applications submitted for Medicare and Medicaid programs.
Resolve claims issues for individual payers in corporate billing system.
Researching completing and maintaining compliance with individual Government payers through credentialing re-credentialing and audit processes and procedures.
Contact Providers when Revalidation notices are received in order to obtain signature pages and validate current general information. Interact with the field (SPM and CPMs) in regards to escalation notices.
The Payer Enrollment Coordinator will be responsible for identifying and quantifying trends/issues and then effectively communicating them to the appropriate members of the management team along with what the potential impact could be.
Minimize denials and deactivation of government applications where applicable to reduce key metrics including DSO cost to collect percent of aged claims and Bad Debt.
Update Credentialing and Billing systems with Provider information upon inquiry or receipt from Government /Commercial payers.
The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare Medicaid and Commercial enrollment for Clinics and Providers.
This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills.
This role will interact and work directly with new and existing Government /Commercial payers across the country.
Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial.
Payer Enrollment Coordinator will interface and work directly with the Providers and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing Accounts Receivable Billing and Call Center) Clinical Ops Teams and MinuteClinic Field and Operations Management in order to ensure integration of all processes.
Provides administrative and operational support to network management and provider relations functions. Assists with contract management data analysis provider directory maintenance coordination of provider communication and education and support of the resolution of operational issues.
Maintains accurate provider information facilitating effective communication and ensuring smooth operations within the network management and provider relations department.

Key Responsibilities:

Submit initial and revalidation applications for providers entering MinuteClinics
Handle government payer enrollment (Medicare/Medicaid)
Manage mail-based documentation and workflows

Ideal Candidate Profile:
Experience:

1-3 years work experience with Government payers
Adept at problem solving and decision making skills
Ability to work independently
Proficient in Excel
Proficient in Outlook
Willingness to learn

Soft Skills:

Reliable and consistent attendance
Willingness to work on-site
Strong communication and organizational skills

Interview & Logistics:

Interview Format: Microsoft Teams (virtual)
Interview Timeline: 1 2 business days after resume review
Rounds: Single interview round
Pre-Screening: Required; candidates should note any relevant experience or lack thereof clearly

Education:

Verifiable High School diploma or GED required; Bachelors Degree in Marketing preferred

Here are the job details for your review: Job Title: Enrollment Coordinator Duration: 10 Months Contract (Potential for extension) Location: 200 Highland Corporate Drive Cumberland RI USA 02864 Pay Rate: $24.99/ HR on W2 shift times: Mon - Fri 7:30am - 4:00pm PRESCREEN THAT NEEDS TO BE A...