Coordinator-Payer Enrollment

Overview

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 OneApp.

• 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