Coordinator-Payer Enrollment - MG CBO Credentialing

Baptist•Memphis, TN

6d•Onsite

About The Position

Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines. Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.

Requirements

High School/GED
4 years of office experience
Strong skills in communication both written and verbal

Nice To Haves

Medical Billing and Coding Diploma from an accredited facility.
2 years in a medical billing organization
Familiarity with CAQH, NPDP, AMA. Experience with primary data source verification.
Proficient in Microsoft Office

Responsibilities

Maintains current provider profiles in the BMG Credentialing database SyMed OneApp.
Maintains current provider profiles in the CAQH database.
Performs primary data source verification of new providers joining BMG.
Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment.
Completes assigned goals.