Provider Enrollment Coordinator

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• Schedules and organizes work assignments. Prioritizes and delegates job tasks to ensure timely completion. Ensure work is performed accurately and efficiently.
• Ensure department response to verbal and written internal or external customer inquiries within policy and procedure timeline.
• Assists in the review, development and maintenance of departmental policies and procedures, and advises on the development of overall guidelines and best practices.
• Implement policies and procedures to maintain workflow standards.
• Maintains manuals of policies and procedures, contract guidelines, and other relevant reimbursement material.
• Oversee daily department activities per policies and procedures.
• Audit department functions for compliance with policy and procedure, contract, and government regulations.
• Effective improvement of operational processes to achieve maximum efficiency, accuracy, and data integrity.
• Research and analyze complex issues. Resolves claims issues related to practitioner or group enrollment and identifies and communicates opportunities for process improvements.
• Collaborates with the legal, compliance, tax and other departments to obtain and or ensure maintenance of certifications, licenses or other documents necessary for compliance with Government and Third-Party payor credentialing and or initial or ongoing enrollment requirements.
• Maintain and track business licenses and regulatory filings.
• Address problems as they occur. Keep manager advised of areas of concern or compliance issues which may lead to deactivation of enrollments or inaccurate completion of responsibilities.

Entry level

Full-time

Education and Training

Hospitals and Health Care

Location:

Sparks, MD