Payor Strategy Enrollment Coordinator

TridentCare•Horsham Township, PA

6d•$22 - $27•Remote

About The Position

The Payor Strategy Enrollment Coordinator responds to internal and external customer inquiries within established policy and procedure timelines; maintains workflow standards; and audits department functions for compliance with policies, procedures, contracts, and government regulations. The role resolves claims issues related to practitioner or group enrollment, identifies and communicates process-improvement opportunities, and completes enrollment and related applications as needed. The coordinator works with legal, compliance, tax, and other departments to obtain or maintain certifications, licenses, and other documents needed for compliance with government and third-party payor credentialing and enrollment requirements. The role addresses problems as they arise, keeps the manager informed of concerns or compliance issues that could affect enrollments or the accurate completion of responsibilities, completes scheduled reports, participates in requested projects, provides staff support as requested, and performs other assigned tasks to support organizational goals.

Requirements

Strong oral, written, and interpersonal communication skills.
Demonstrated initiative and ability to work independently.
Excellent organizational skills and attention to detail.
Ability to work as a team player and self-starter and exercise sound judgment when handling a variety of issues.
High tolerance for ambiguity and flexibility to respond quickly and appropriately to changing circumstances and priorities.
Ability to prioritize, troubleshoot, and solve problems.
Strong analytical skills.
Ability to manage multiple and competing priorities.
Internet access to perform job duties.

Responsibilities

Respond to verbal and written internal or external customer inquiries within policy and procedure timelines.
Follow policies and procedures to maintain workflow standards.
Audit department functions for compliance with policies, procedures, contracts, and government regulations.
Resolve claims issues related to practitioner or group enrollment and identify and communicate process-improvement opportunities.
Collaborate with legal, compliance, tax, and other departments to obtain or maintain certifications, licenses, and other documents needed for government and third-party payor credentialing and enrollment requirements.
Address problems as they occur and keep the manager advised of concerns or compliance issues that could lead to enrollment deactivation or inaccurate completion of responsibilities.
Complete reports according to schedule.
Participate in projects as requested.
Complete enrollment and related applications as needed.
Provide staff support as requested.
Perform other tasks and duties as assigned to support organizational goals.