Senior Payer Enrollment Coordinator

Ascension • Remote,

2d • $41,040 - $55,531 • Remote

About The Position

This role is responsible for populating MD Staff for new providers, ensuring ACVS files meet managed care criteria, and submitting credentialed rosters to delegated payers. It also involves completing and submitting CAQH payer applications for non-delegated payers, processing and submitting monthly provider data updates/changes in MD Staff, and following up with payers for timely loading and running delegated audit rosters. The position also manages payer enrollment/EPriv in MD Staff, handles Medicare/Medicaid enrollment and revalidation, creates, maintains, and audits the provider database, and communicates plan information alerts while staying updated on and communicating regulatory changes.

Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
• 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.
• MD Staff preferred.

Responsibilities

• Populates MD Staff for new providers.
• Ensures ACVS files meet managed care criteria.
• Submits credentialed rosters to delegated payers.
• Completes and submits CAQH payer applications for non-delegated payers.
• 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.
• Handles Medicare/Medicaid enrollment and revalidation.
• Creates, maintains, and audits the provider database.
• Communicates plan information alerts.
• Stays abreast of and communicates regulatory changes.

Benefits

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED