Senior Payer Enrollment Coordinator

 Posted 2 hours ago
     
 $41040.23 - $55531.47 per year
  
0-2 years experience
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AI Summary

Manage provider enrollment and credentialing processes using MD Staff and CAQH for delegated and non-delegated payers. Maintain the provider database and ensure compliance with regulatory changes and managed care criteria.

Your future role at a glance 

Location: Remote

Department/Specialty: Credentialing and Payer Enrollment

Schedule: Monday-Friday | Days | 8:00am-5:00pm central time

Salary: $41,040.23-$55,531.47

 

#ACVS

#LI-Remote


Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive

  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more


How you’ll make an impact in this role

  • Populates MD Staff for new providers, ensures ACVS files meet managed care criteria, and submits credentialed rosters to delegated payers. Completes and submits CAQH  payer applications for non-delegated pa. Processes and submits monthly provider data updates/changes in MD Staff. Follows up with payers for timely loading and runs delegated audit rosters.
  • Manages payer enrollment/EPriv in MD Staff and handles Medicare/Medicaid enrollment and revalidation.
  • Creates, maintains, and audits the provider database. Communicates plan information alerts and stays abreast of and communicates regulatory changes.

What minimum requirements you’ll need

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

What additional preferences we're seeking

  • 1 to 2 years of payer enrollment with managed care experience..
  • Must work with a team approach.
  • Must have excellent written and verbal communication skills.
  • Must be highly organized and dependable.
  • Must be computer savvy and fluent with spreadsheets, Excel and Google sheets.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

 

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