Duties:
- The Payer Enrollment Coordinator will be responsible for ensuring corporate compliance with statutory requirements for Medicare, Medicaid, and Commercial enrollment for Clinics and Providers.
- This Individual will have the ability to work well with others; collaboratively with internal and external vendors and create partnerships through effective relationship building skills.
- This role will interact and work directly with new and existing Government /Commercial payers across the country.
- Analysis will include developing of provider and clinic level reporting insuring we are meeting all criteria for enrollment within our compliance policy for Government /Commercial.
- Payer Enrollment Coordinator will interface and work directly with the Providers, and also with Payer Relations and Revenue Cycle Operations Teams (Credentialing, Accounts Receivable, Billing, and Call Center) Clinical Ops Teams, and MinuteClinic Field and Operations Management, in order to ensure integration of all processes.
Experience:
- 2-5 years work experience with Government payers.
- Adept at problem solving and decision making skills.
- Ability to work independently.
- Proficient in Excel.
- Proficient in Outlook.
- Willingness to learn.
Position Summary:
- Provides administrative and operational support to network management and provider relations functions.
- Assists with contract management, data analysis, provider directory maintenance, coordination of provider communication and education, and support of the resolution of operational issues.
- Maintains accurate provider information, facilitating effective communication and ensuring smooth operations within the network management and provider relations.
Education
- Verifiable High School diploma or GED required.
