Provider Enrollment Coordinator Jobs

The Provider Enrollment Coordinator performs the daily administrative duties for the Government and Commercial Provider enrollment function. The Provider Enrollment Coordinator works closely with divisions to ensure accurate and complete information is collected and database maintenance and auditing are performed.

The Provider Enrollment Coordinator provides filing for enrollment of healthcare providers with all governmental programs and contracted commercial and managed care health plans. This position establishes and maintains effective communication with colleagues, customer/client base to ensure accurate verification and documentation in expedient and timely manner.

The Provider Enrollment Coordinator develops professional working relationships within the department and environment to facilitate processes.

Licensure, Certification, or Registration Requirements for Hire: N/A

Licensure, Certification, or Registration Requirements for continued employment: N/A

Experience REQUIRED

Minimum of three (3) years of previous experience in a customer service and/or administrative position

Previous experience using various software applications including MS Office (Access, Word, Excel), e-mail, etc.

Experience PREFERRED

Previous experience with CMS, URAC, NCQA and JCAHO Standards

Previous credentialing and provider enrollment experience

Education/training REQUIRED

High School Diploma or equivalent

Education/training PREFERRED

College level coursework in a business, healthcare or related field

Independent Action(s) Required

Organizational skills, proficiency in MS Office Access, Word and Excel, and numerous hospital databases with extreme attention to detail.

Ability to multi-task in stressful and limited time constrained environment.

Supervisory responsibilities (if applicable): N/A

Additional position requirements: N/A

Age Specific groups served: N/A

Physical Requirements (includes Use Of Assistance Devices As Appropriate)

Physical Lifting 20-50 lbs.

Activities: Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other)

Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking

Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.