What are the responsibilities and job description for the Provider Enrollment Coordinator position at ICONMA?
Our Client, a Medical Center Company, is looking for Provider Enrollment Coordinator for their Remote location
Responsibilities
- CAQH - linking to our group EPM module and re-attesting providers (600 )
- Updating MSOW / Verity with the offices / confirming sites of service
- Medicare PECOS enrollment
- Completing any forms potentially required (albeit knowing that we are going to use rosters as much as possible
- Under the supervision of the Associate Director of Medical Staff Office & Provider Enrollment, is responsible for the timely enrollment of all new and existing Client practitioners with third party payers.
- Maintains provider data in existing computer software systems with accuracy and efficiency.
- Responsible for ensuring timely enrollment of new providers with 3rd party payors; and maintenance of existing active physicians.
- Responsible for ensuring the timely enrollment of new providers and maintenance of existing providers with the governmental payors including but not limited to Medicare and Medicaid.
- Responsible for performing follow up inquiries with payers to ensure timely provider enrollment with payers.
- Accountable for overseeing and for directly updating provider data in the CAQH system, as necessary.
- Responsible for the on-going maintenance of existing providers, including but not limited to the submission of maintenance forms to update personal and practice demographic data for providers, billing updates, et al.
- Accountable for submitting termination requests to all health plans in a timely manner.
- Responsible for inputting provider enrollment information into MSOW with flow to EPIC and other Client Health System information systems; and distribution of information to designated department representatives, billing vendors and credentialing administrators.
- Produce the weekly enrollment reports.
- Adhere to strict guidelines as established to assure payor and NCQA compliance.
- Follow Client policies and procedures as they relate to the provider enrollment process.
- Perform other duties as assigned.
