Enrollment Coordinator

MJHS•New York, NY

2d•$35,041 - $43,802

About The Position

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time staff Generous paid time off, including your birthday! Affordable and comprehensive medical, dental and vision coverage for employee and family members Two retirement plans ! 403(b) AND Employer Paid Pension Flexible spending And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities In this position, you will handle all provider file update requests, received from participating providers, in accordance with the established timeline while developing and maintaining positive provider/customer services. You will be asked to coordinate with various Elderplan departments and NPO teams to ensure provider file update requests and demographic-related claim denial inquiries are handled appropriately while balancing provider needs with Plan priorities. In addition, you will handle and organize correspondence from non-par providers, under the file update process, for the Data Maintenance Team, as needed. Communicate the receipt/completion of all file update correspondence received from provider/ designee in a timely and consistent manner. Other duties will involve educating participating providers regarding any updates to the processes and escalating any issues to the Provider Relations/IPA, among other teams.

Requirements

High School diploma
Bachelor’s degree preferred
With Bachelor’s degree; minimum of one year of experience in Managed Care, provider billing, and/or customer service.
Without Bachelor’s degree, minimum of three (3) years of experience, as above
Knowledge of Microsoft Office

Responsibilities

handle all provider file update requests, received from participating providers, in accordance with the established timeline while developing and maintaining positive provider/customer services
coordinate with various Elderplan departments and NPO teams to ensure provider file update requests and demographic-related claim denial inquiries are handled appropriately while balancing provider needs with Plan priorities
handle and organize correspondence from non-par providers, under the file update process, for the Data Maintenance Team, as needed
Communicate the receipt/completion of all file update correspondence received from provider/ designee in a timely and consistent manner
educate participating providers regarding any updates to the processes and escalating any issues to the Provider Relations/IPA, among other teams

Benefits

Tuition Reimbursement for all full and part-time staff
Generous paid time off, including your birthday!
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans ! 403(b) AND Employer Paid Pension
Flexible spending
MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

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