Revenue Cycle Facility Payor Enrollments Specialist
Chicago, IL - USA
Job Summary
This system role is responsible for supporting the coordination and execution of facility governmental payor enrollments for these related health plans.
Responsibilities include the review analysis coordination and submission of enrollment data required for all CommonSpirit Health facilities and providers. This role ensures that enrollment processes are completed accurately timely and in compliance with varying payor requirements.
While the primary focus is on facility-level enrollments this role may also support individual provider enrollments as needed to ensure continuity of operations and reimbursement.
- Coordinate and execute facility payor enrollments for all governmental payors including Medicare Medicaid and related health plans.
- Collect review and validate required enrollment data to ensure accuracy completeness and compliance with payor-specific requirements.
- Prepare and submit enrollment applications and supporting documentation through both manual and electronic processes.
- Work closely with facility leadership operational teams and third-party vendors to gather and verify enrollment information in a timely manner
- Submit applications to designated Authorized/Delegated Officials for review and approval in accordance with internal policies.
- Collaborate with governmental contractor payors to resolve deficiencies respond to requests and follow up on enrollment status.
- Bachelors Other Bachelor Admin degree in Finance Accounting or Finance concentration helpful but not required
- One to Three (1-3) years
- Minimum of two (2) years of current progressive experience in a healthcare environment with government enrollments background.
Required Experience:
IC