Provider Enrollment Coordinator - Temporary

Unified Women's Healthcare

About The Position

Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest opportunities to impact every woman’s health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women’s health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality. The Provider Enrollment Coordinator is responsible for preparing and submitting all types of credentialing/enrollment applications and supporting documentation for enrolling providers and groups with payers. The Provider Enrollment Coordinator follows up on the status of applications for all practitioners and payers, tracking progression on all pending and completed applications.

Requirements

High School diploma or equivalent required.
Previous experience in a payer enrollment related field and knowledge of managed care operations including enrollment preferred.
Excellent written and oral communication skills.
Demonstrated proficiency in Microsoft Office products including word, excel, and outlook.
Strong organizational, problem solving and decision-making skills.
Ability to prioritize and manage multiple issues effectively and simultaneously.
Self-motivated and self-starter who can work well under minimal supervision.
Strong attention to detail, research and follow up skills.
Ability to work both independently and in a team setting.
Excellent planning, organizational, and time management skills required.
Able to learn and adapt to continuously changing business and technology needs.

Responsibilities

Preparing and submitting all provider credentialing applications and conducting necessary follow-up.
Maintain follow-up guidelines for enrollment/credentialing applications and communicate with other departments with updates as needed.
Maintain a strict level of confidentiality for all matters pertaining to provider credentials
Ensuring credentialing data needed for enrollment, contracting, and other related purposes is on file. Credentialing data includes but is not limited to the Medical Degree, Internship/Residency certification, Drug Enforcement Administration (DEA) verification of number, Board Certifications, CV, malpractice insurance and medical history.
Maintain provider information via Credentialing Software including demographics for all providers. The status of payer enrollment (PE) applications must be tracked in credentialing database and Salesforce.
Processes reappointment applications for the payers.
Notify proper departments and provider/care center of participation status with all payers as the provider becomes PAR or as requested from the provider/care center.
Resolve issues related to provider participation.
Comply with Unified policies and procedures
Other duties as assigned, directed, or requested

Benefits

Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Vacation, personal days, and paid holidays to help you recharge.
401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
Opportunities and resources to support your career growth.

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