Senior Payer Enrollment Coordinator

AscensionRemote,
$41,040 - $55,531Remote

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Requirements

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Nice To Haves

  • 1 to 2 years of payer enrollment with managed care experience.
  • Must work with a team approach.
  • Must have excellent written and verbal communication skills.
  • Must be highly organized and dependable.
  • Must be computer savvy and fluent with spreadsheets, Excel and Google sheets.

Responsibilities

  • Populates MD Staff for new providers, ensures ACVS files meet managed care criteria, and submits credentialed rosters to delegated payers.
  • Completes and submits CAQH payer applications for non-delegated pa.
  • Processes and submits monthly provider data updates/changes in MD Staff.
  • Follows up with payers for timely loading and runs delegated audit rosters.
  • Manages payer enrollment/EPriv in MD Staff and handles Medicare/Medicaid enrollment and revalidation.
  • Creates, maintains, and audits the provider database.
  • Communicates plan information alerts and stays abreast of and communicates regulatory changes.

Benefits

  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more
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