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Senior Payer Enrollment Coordinator

đŸ”„ 5 hours ago

đŸ‡ș🇾 United States – Remote

đŸ’” $41k - $55.5k / year

⏰ Full Time

🟠 Senior

đŸ‘» Ghost score 0%

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Logo of Ascension

Ascension

10,000+ employees

đŸ„ Healthcare

đŸ€ Non-profit

💰 $500M Debt on 2019-11

Healthcare ‱ Non-profit

Ascension is a U. S. -based healthcare organization that connects patients to care across the communities it serves. The company operates hospitals and specialized care sites in multiple states (e. g. , Florida, Illinois, Indiana, Kansas), highlights location-based search for care, and promotes compassionate, community-focused services.

📋 Description

‱ Populate MD Staff for new providers ‱ 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/changes in MD Staff ‱ Follow up with payers for timely loading ‱ 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 ‱ Computer savvy and fluent with spreadsheets, Excel, Google Sheets and MD Staff ‱ Must work with a team approach ‱ Must have excellent written and verbal communication skills ‱ Must be highly organized and dependable

đŸ–ïž 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 ‱ Ways to give back to your community

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