Coordinator-Payer Enrollment - MG CBO Credentialing

Summary

Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files. This will include performing primary data source verifications and monitoring per established protocols. Creation of provider profile within the Symed/One App Pro database as per established guidelines.

Communicates directly with providers, payers, office managers, Operations Directors, and Executive Directors as needed. Generates reports. Performs CAQH attestation. All functions require high levels of accuracy, attention to detail and confidentiality. Performs other duties as assigned.

Responsibilities

• Maintains current provider profiles in the BMG Credentialing database SyMed One App.
• Maintains current provider profiles in the CAQH database.
• Performs primary data source verification of new providers joining BMG.
• Performs initial communication to providers requesting supporting documents required for the completion of payer enrollment.
• Completes assigned goals.

Requirements, Preferences and Experience

Education

  Preferred :
Medical Billing and Coding Diploma from an accredited facility.

  Minimum :
High School/GED

Experience

  Preferred : 2 years in a medical billing organization

  Minimum : 4 years of office experience

Special Skills

  Preferred :
Familiarity with CAQH, NPDP, AMA.

Experience with primary data source verification.

  Minimum :
Strong skills in communication both written and verbal

Training

  Preferred :
Proficient in Microsoft Office

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups.

Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We

Offer:

• Competitive salaries
• Paid vacation/time off
• Continuing education opportunities
• Generous retirement plan
• Health insurance, including dental and vision
• Sick leave
• Service awards
• Free parking
• Short-term disability
• Life insurance
• Health care and dependent care spending accounts
• Education assistance/continuing education
• Employee referral program

Job Summary:
Position: 5348 - Coordinator-Payer Enrollment
Facility: BMG - Central Business Office
Department: MG CBO Credentialing
Category:
Finance and Accounting
Type:
Non Clinical
Work Type:
Full Time

Work Schedule:

Days

Location:

US:

TN:

Memphis
Located in the Memphis metro area