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Ascension

Senior Payer Enrollment Coordinator

Posted 4 days ago
$41040.23 - $55531.47 per year
2-5 years experience
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AI Summary

The Senior Payer Enrollment Coordinator manages provider enrollment, credentialing, and data updates within the MD Staff system. They ensure compliance with managed care criteria and handle Medicare/Medicaid revalidations while maintaining accurate provider databases.

Your future role at a glance

Location: Remote

Department: Credentialing and Payer Enrollment

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

Salary: $41,040.23-$55,531.47 per year

#ACVS

#LI-Remote

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 payers. 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.
  • Computer savvy and fluent with spreadsheets, Excel, Google sheets and MD Staff 

What minimum qualifications 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 requirements you'll need

  • 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.

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.

Equal employment opportunity employer

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.

 

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

 

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

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