Senior Payor Enrollment Assistant

Full TimeRemoteTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

20 hours ago

Salary

$38.9K - $52.7K / year

High School1 yr expExperience acceptedEnglish

Job Description

• Manages daily provider enrollment, maintaining and communicating enrollment data • Populating MD Staff • Ensuring provider files meet managed care criteria • Submitting rosters to delegated payors • Completing CAQH applications for non-delegated payors • Processing data updates/terms • Following up with payors for timely loading • Managing MD Staff payor enrollment/EPriv • Running delegated audit rosters • Enrolling/re-validating Medicare/Medicaid • Completing non-Ascension hospital privileges • Creating/auditing the provider database • Communicates policy changes and stays current on regulatory issues

Job Requirements

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
  • 2 years of Health Plan delegation
  • Comprehensive knowledge of Delegated Credentialing, spanning process, regulatory requirements, and best practices, a must have
  • Strong regulatory knowledge of EPriv, NCQA, URAC, and CMS required

Benefits

  • Paid time off (PTO)
  • Various health insurance options & wellness plans
  • Retirement benefits including employer match plans
  • Long-term & short-term disability
  • Employee assistance programs (EAP)
  • Parental leave & adoption assistance
  • Tuition reimbursement

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