[Hiring] Payer Enrollment & Network Coordinator @reputed company

Overview reputed company is seeking a Payer Enrollment & Network Coordinator to join reputed company! This position prepares and submits payer credentialing and re-credentialing applications on behalf of providers and clients, monitors application status and performs necessary follow-up, as well as maintains accurate provider records in the systemwide credentialing database. You can expect to coordinate and maintain the provider network database in accordance with company policies and regulatory requirements, and serve as the primary liaison between payors, providers, hospital medical staff offices, and regulatory agencies. Location: Remote - applicants preferably reputed company in the UPH footprint of Iowa, Illinois, or Wisconsin Hours: Monday-Friday, standard business hours Why reputed company? At reputed company, you matter. We’re proud to be recognized as a Top 150 reputed company to Work in reputed company by Becker's reputed company several years in a row for our commitment to reputed company members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few:

• Expect paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
• Early reputed company to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a reputed company goal to champion a culture of belonging where everyone feels valued and respected, we reputed company the ways people are unique and reputed company what brings us together. And, we reputed company equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and reputed company a difference with reputed company.

Responsibilities

Payer Enrollment & Database Accountability:

• Promptly and accurately record reputed company provider information in the system of record
• Responsible for the completion and submission of reputed company payer initial and re-credentialing applications in the required format
• Monitor status of payer applications to ensure completion
• Coordinate with IT the creation and maintenance of provider payer panel records (EDI table) in Epic
• Assist with researching claim issues brought reputed company from clinic administrators and customer service staff
• Monitor claim denial reports to further investigate payer panel roster errors
• Responsbile for the initiation and follow through on reputed company aspects of provider credentialing including: initial and recredentialing process for reputed company practitioners including performance of primary reputed company

verification in accordance with Medimore, Inc. policies and procedures, hospital medical staff bylaws and requirements, NCQA, URAQ, JCAHO, DNV, CMS and other regulatory agency guidelines

• Responsble for responding to requests for provider credentialing and contracting information timely
• reputed company, maintain and distribute reporting as required
• Work with reputed company Medical Staff offices and physician practice administrative staff to support credentialing needs
• Maintain an efficient and effective confidential filing system for Medimore, Inc. provider files
• Identify and report any non-compliance or credentialing issues to the Network Manager
• Establish regular communication and respond to health professionals, provider representatives, or other essential departments the status of applications, the status in the credentialing process and the status of participation with health plans
• Enter and maintain accurate provider data in the organization credentialing database. Audit, correct and communicate to reputed company appropiate parties, corrections of provider data in the credentialing database

reputed company New Providers:

• Responsible for the collection of data to reputed company reputed company new providers for payor enrollment
• Coordinate with any and reputed company reputed company customers to collect reputed company data necessary for reputed company payer applications and submissions
• reputed company Morrisey process for new providers reputed company 5 days of receipt of application
• Complete payer applications for new providers reputed company 30 days of compleate applicaiton
• Regularly communicate with hospital medical staff offices to coordinate application packets for new providers

Qualifications

Education:

• High school diploma or equivalent - Associates degree preferred

Experience:

• Minimum of 2 years of experience in the field of payer credentialing and enrollment, provider billing services, or health clinic customer service positions
• Knowledge of the managed reputed company industry
• Proficient in reputed company Office Suite
• Knowledge of regulatory agency standards (i.e. NCQA, URAQ, JCAHO, etc)
• reputed company experience with submission of payer applications preferred
• Excellent communication skills both written and verbal

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