Payor Enrollment Coordinator
About The Position
Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description General Summary: Build and maintain the enrollment of providers for Children’s Hospital of Chicago Faculty Practice Plan, including but not limited to the implementation, coordination, and maintenance of the Managed Care Payor Enrollment processes.
Requirements
- Must possess a high school diploma or equivalent.
- Minimum of 3 years’ experience with research activities, preferably within healthcare setting.
- Excellent communication skills.
- Excellent computer/database skills including previous experience using Crystal Report Writer or ability to learn quickly to assume these functions.
- Ability to work independently.
- Ability to research quality, credentialing and managed care topics.
Nice To Haves
- Completion of bachelor's degree preferred.
- Preferred prior experience with Illinois IMPACT, PECOS, NPPES and MCO payer activity.
- Strong analytical skills and ability to perform statistical analysis.
Responsibilities
- Responsible for the timely completion of complex government and commercial payer enrollment applications for all states
- Updating and maintaining all necessary documents for assigned clients and physicians.
- Ability to proficiently communicate credentialing related claims issues to client service managers, clients, and providers.
- Also assists the SCC with the initial loading of demographic data of all new Practitioners in MSOW
- Records, tracks, and reports complete status of enrollment to all stake holders internal and external.
- Collaborate with providers, payers and internal departments on issues related to the provider enrollment process.
- Continual collaboration with Providers, Revenue Cycle, FPP Physicians, FPP Credentialing, Human Resource and Service line leadership.
- Other duties as assigned.
Benefits
- Medical, dental and vision insurance
- Employer paid group term life and disability
- Employer contribution toward Health Savings Account
- Flexible Spending Accounts
- Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
- 403(b) with a 5% employer match
- Supplemental Life, AD&D and Disability
- Critical Illness, Accident and Hospital Indemnity coverage
- Tuition assistance
- Student loan servicing and support
- Adoption benefits
- Backup Childcare and Eldercare
- Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
- Discount on services at Lurie Children’s facilities
- Discount purchasing program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
