Credentialing and managed care enrollment coordinator

Medical University Of South Carolina

Job Location:

Charleston, SC - USA

Monthly Salary: Not Disclosed

Posted on: 2 days ago

Vacancies: 1 Vacancy

Job Summary

Job Description Summary

Manages credentialing and enrollment process with all government and commercial payers

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC001103 SYS - Corp Managed Care

Pay Rate Type

Salary

Pay Grade

Health-26

Scheduled Weekly Hours

Work Shift

Job Description

Ensures that appropriate medical staff privileges are received and billing enrollment process is completed for all new providers and locations.25%

Manages the credentialing and enrollment process with all governmental and commercial payors in a timely fashion on behalf of all MCP providers.25%

Acts as liaison to assist in resolving contract implementation and payment issues with all contracted carriers. 25%

Acts as liaison for patient accounting with managed care payors for all provider enrollment-related claims issues and takes appropriate action to implement solutions to enrollment-related claims issues.

Ensure providers are appropriately categorized for payment purposes with all payors. This process will include completing new provider applications ensuring that provider credentialing is received and processed timely by the medical staff office and making credentialing decisions and effective dates. 25%

Additional Job Description

Bachelors Degree or equivalent Work Experience: 4-6 of related work experience in medical staff office operations revenue cycle and provider enrollment.

Very organized has high attention to detail and isable to work independently. Strong analytical and problem-solving skills. Strong interpersonal and communication skills (written/verbal). Knowledge of Excel Word and Outlook. Familiarity with database programs.

If you like working with energetic enthusiastic individuals you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: Experience:

Job Description SummaryManages credentialing and enrollment process with all government and commercial payersEntityMedical University Hospital Authority (MUHA)Worker TypeEmployeeWorker Sub-TypeRegularCost CenterCC001103 SYS - Corp Managed CarePay Rate TypeSalaryPay GradeHealth-26Scheduled Weekly Hou...