Enrollment Coordinator
Core
Partner with Revenue Cycle Analysts and billing specialists to support carrier enrollment functions for medical staff, assisting providers in completing enrollment applications for commercial payers and resolving enrollment inquiries.
Role type
Operational Enrollment Coordinator
Builds
Provider enrollment into commercial insurance plans and health networks
Domain
Healthcare administration / Insurance credentialing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical credentialing experience, Payer enrollment processes, Athena EMR software, CAQH profile management, Database management, Billing procedures understanding
Preferred skills
Athena EMR experience, Prior credentialing and database experience, CAQH profile setup and attestation
Technologies
Athena, CAQH
Responsibilities
Work with commercial payers to enroll providers, Assist providers in completing enrollment applications, Act as a liaison between health plans and the organization to resolve enrollment inquiries, Update provider and payer credentialing tables in Athena, Provide frequent status updates to Revenue Cycle Team and Operations Leaders regarding enrollment progress
Seniority
Individual Contributor, 2+ years experience