Provider Enrollment Coordinator

Job Posting Closing Date: Open until Filled

Where do you belong?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional,  at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer  career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class.

Job Description

The Provider Enrollment Coordinator is the first point of contact to staff; resolve enrollment issues by answering questions, making recommendations for resolution and escalation, checking enrollment status, verifying payer enrollment requirements and system implementation, appropriately follow-up on Provider Issue Forms; facilitates group and individual enrollment with commercial and government payers.

Location: Remote

ESSENTIAL JOB FUNCTIONS:

• Resolves issues and concerns by correctly answering questions from staff and providing appropriate follow-up on issues, escalating to Team Lead and/or Manager, when appropriate.
• Provides the team with coaching, training, and auditing on assigned tasks. Partner with Team Lead to evaluate team’s performance to improve overall production and facilitate continuous improvement.
• Assists Team Lead in monitoring inventory and production and facilitates the escalation process as needed.
• Become proficient in discussions with payors to facilitate closure of any identified issues
• Research and review individual Provider Issue Forms for appropriate follow-up and resolution.
• Missing Documents - POC will meet with Lead biweekly to review missing documents risks and concerns.
• Maintain Matrices - payer enrollment, matrix, SOPs, new site sheets, email templates, welcome letters, etc.
• Create and distribute reports containing provider credentialing and enrollment data for various departments within the organization
• Research new state enrollment requirements for group and individual provider enrollment.
• Assists Contract Implementation staff with accurately documenting enrollment and billing requirements for payer contracts.
• Assist with IntelliCred Application Mapping
• Facilitate completion and submission of payer enrollment applications for government and commercial payers
• Monitor application status process to identify emerging issues and communicate them to Team Lead
• Monitor enrollment status for group and individuals
• Performs and assists with other department duties as required

KNOWLEDGE, SKILLS AND ABILITIES:

• Meticulous follow-through of delegated tasks, including follow-up with staff to ensure completion, quality, and meeting deadlines.
• Ability to exhibit leadership by demonstrating a commitment to team development, adapting to change in a positive manner, and supporting alignment with organizational goals including continuous improvement efforts
• Ability to pay close attention to detail and produce extremely accurate work.
• Strong analytical and problem-solving skills.
• Ability to organize and prioritize job tasks and requirements.
• Excellent organization skills with the ability to prioritize assigned duties in an efficient amount of time.
• Ability to effectively perform in a multi-task work environment.
• Strong communication and interpersonal skills.
• Ability to effectively use oral and written communication skills with clinicians, external agencies and management in a courteous and professional manner.
• Must have knowledge of correct English, proper grammar and spelling.
• Knowledge and skills in using personal computers (Windows) with a strong emphasis on Microsoft Office Programs- Outlook, Word, Excel and Adobe Acrobat
• Ability to maintain patience and composure in difficult situations.
• Ability to work well under pressure and meet strict deadlines.
• Ability to maintain confidentiality.
• Ability to exhibit a commitment to teamwork, supporting alignment with company and department goals and objectives, assisting others to develop their knowledge of the company and department, and adapting to changes in a positive manner.

EDUCATION AND EXPERIENCE: 

• High school diploma or equivalent
• Two (2) years office experience or college course work preferred.
• Knowledge of health plan billing and enrollment preferred.

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds. 
• Required to have close visual acuity to perform the job.

Hourly Rate: $18.76-$34.70

The starting rate for this position will be $21.50