Provider Enrollment Coordinator

The Provider Enrollment Coordinator is responsible for coordinating all necessary provider enrollment applications for billing to various carriers. This position is responsible for ensuring all applicable documents have been sent/received in a timely manner to the authorized signer and preparing/submitting a completed payer application. Responsibilities also include completing all CAQH’s and CAQH re-attestations, online applications and re-enrollment applications.

• Generate “Applications Stopped in House” reports from Teamworks
• Review weekly exception reports from management to prioritize critical issues
• Preparing and sending applications to payers
• Completing online applications/CAQH
• Documenting data in Teamworks
• Requesting IDX# from billing center/IDX maintenance
• Resolving application deficiencies
• Update management when payers request additional forms or updating PE forms
• Train staff on provider enrollment processes
• Partner with Clinician Onboarding Liaison (COL) and Credentials Coordinator (CDR)
• Support Provider Enrollment department

• HS Diploma or equivalent;
  Some college preferred
• One year of experience with contracts, legal documents or other health care related work
• Proficient in Microsoft Office applications
• Meticulous accuracy
• Ability to make decisions and solve problems
• Excellent communication skills (verbal and written);
  Ability to communicate effectively with Providers, Medical Directors and VPOs
• Excellent organizational skills with the ability to prioritize and manage multiple projects
• Ability to meet challenging deadlines; ability to function in stressful situations
• Ability to work in a team environment
• Overtime may be required