What are the responsibilities and job description for the Provider Enrollment Coordinator position at Meduvi?
40 hours a week
Contract Duration: At least 3 months
Responsibilities:
· 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 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 policies and procedures as they relate to the provider enrollment process.
· Perform other duties as assigned.
Education:
· Bachelor’s degree.
Experience:
· Requires 3 years’ provider enrollment experience in a healthcare system
· Experience with CAQH system and third-party insurance websites
· Previous use of MSOW/Verity
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Compensation Statement. Please see pay rate within this job posting. Employee Benefits Statement. Meduvi offers comprehensive medical (HMO/PPO), dental (PPO), 401k and weekly payroll with direct deposit. EEO Statement. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.