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Senior Payer Enrollment Coordinator

🔥 6 minutes ago

🇺🇸 United States – Remote

đź’µ $41k - $55.5k / year

⏰ Full Time

đźź  Senior

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Logo of Ascension

Ascension

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Ascension is one of the nation’s leading non-profit Catholic health systems focused on delivering compassionate, personalized care with special attention to vulnerable populations. In FY2025 Ascension reported providing $1. 7 billion in care for persons living in poverty and other community benefit programs plus $1. 8 billion of unreimbursed care for Medicare patients. Operating across 16 states and the District of Columbia, its network includes about 97,300 associates, 25,300 aligned providers, 90 wholly owned or consolidated hospitals and ownership interests in 29 additional hospitals; Ascension also operates 22 senior living facilities and a variety of other care sites (including home health and health clinics). Its specialties include medical services, nursing, health system operations, and healthcare technology, all grounded in its faith-based mission to bring health, healing and hope to all.

đź“‹ Description

• Populate MD Staff for new providers and ensure ACVS files meet managed care criteria • Submit credentialed rosters to delegated payers • Complete and submit CAQH payer applications for non-delegated payers • Process and submit monthly provider data updates and changes in MD Staff • Follow up with payers for timely loading and run delegated audit rosters • Manage payer enrollment/EPriv in MD Staff • Handle Medicare/Medicaid enrollment and revalidation • Create, maintain, and audit the provider database • Communicate plan information alerts • Stay abreast of and communicate regulatory changes

🎯 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 • 2 years of payer enrollment with managed care experience preferred • Team-oriented approach • Excellent written and verbal communication skills • Highly organized and dependable • Computer savvy and fluent with spreadsheets, Excel and Google Sheets • MD Staff preferred

🏖️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options • Employer-matched 403(b) • Planning and hardship resources • Disability and life insurance • Pro-rated paid time off (PTO) and holidays • Ascension-paid tuition (Vocare) • Tuition reimbursement • Ongoing professional development and online learning • Employee Assistance Program • Counseling and peer support • Spiritual care and stress management resources • Parental leave • Adoption assistance and family benefits • Optional legal and pet insurance • Transportation savings

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