Business & Provider Enrollment Coordinator

Community Health Care • Bridgeton, NJ

5d

About The Position

Responsible for coordinating, monitoring, and maintaining the insurance enrollment and re- enrollment process for providers and electronic billing. Ensure that file maintenance, within practice management system is keep up to date for billing purposes. Establish and maintain a relationship with outside vendors/contractors pertaining to medical billing and provider enrollment needs.

Requirements

• Associates in Arts (AA) Degree (preferred)
• Knowledge of provider licensing (Lic., DEA, CDS, malpractice Ins.)
• Proficient with Microsoft Office
• Ability to multi-task in a fast-paced environment
• Excellent communication skills
• Able to work as a team player as well as independently
• Detail oriented
• Problem solving skills
• Excellent Customer Service
• Ability to travel (if needed)
• Ability to sit for long periods of time
• Flexible

Responsibilities

• Ensure all new providers are enrolled with every major carrier within 6 months of hire Medicaid-Medicare-Medicaid HMOs (HNJH, UHCCP, Amerigroup…)
• BCBS-Aetna- AmeriHealth-AmeriHealth Administrators- Qualcare-TriCare-Cigna-Oxford- UnitedHealthCare Commercial, and third-party plans (Davis, Magellan…)
• Ensure all CCHN locations are attached to all major payers
• Maintain grid of provider’s status with payers
• Obtain and maintain CAQH and NPI provider and location profiles
• Maintain/Update file maintenance as it pertains to billing Providers Locations Insurance Contracts Encounter Rates Add New Insurances Add CPTs and ICD10 (as needed)
• Establish and maintain a relationship with outside vendors/contractors pertaining to medical billing and provider enrollment needs.
• Establish and maintain a relationship with provider relations representatives from payers
• Deposit (as assigned)
• Reconciliation of payments or charges (as assigned)
• Help Business associates with A/R management (as assigned)
• Help with internal and external phone calls
• Miscellaneous duties (special projects assigned as needed)

Benefits

• Comprehensive medical, dental, and vision insurance
• Paid time off (vacation, sick leave, and holidays)
• 401(k) retirement plan with employer matching
• Incentive program
• Life and disability insurance
• Continuing education and professional development opportunities
• Flexible Spending Accounts (FSA)
• Tuition reimbursement
• Reimbursement for licensure and certifications
• Reimbursement for CPR
• Discounted services
• Employee recognition programs
• Health Reimbursement Arrangement (HRA) via Ameriflex (covers most out-of-pocket expenses)
• Pension plan
• Cancer insurance policies
• Employee-paid life insurance — 2x annual salary, up to $150K (CCHN-paid benefit)
• AAA membership (discounted rates)
• BJ’s Wholesale Club membership (discounted rates)
• Direct deposit
• Childcare reimbursement program
• Intersite travel reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree