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Provider Enrollment and Credentialing Coordinator

Midwest Vision Partners
Brecksville, OH Full Time
POSTED ON 1/29/2025
AVAILABLE BEFORE 3/29/2025

The Provider Enrollment and Credentialing Coordinator is responsible for the Enrollment application completion and/or submission and follow-up process. This role will be required to complete forms/applications with accuracy and efficiency. The PR Coordinator will coordinate numerous functions within the PE area ensuring timely feedback and escalation.

The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.

WHAT YOU WILL BE WORKING ON:


  • Adherence to data entry/document management protocols
  • Responsible for payer research as needed
  • Update leadership team when payers request additional forms or update PE forms
  • Complete CAQH applications for new and existing providers. Will maintain CAQH reporting and
attest provider applications every 120 days
  • Create and maintain W-9s as needed for all Groups and Providers
  • Utilize templates or prepare correspondence inserting proper provider and group-related
information for submission of applications to payors
  • Convey issues and status of problems to the Enrollment Manager
  • Ensure Held A/R enrollments are submitted on a timely basis to avoid risk of claims/adjustments,
and an unnecessary increase of Held AR; maintain and work reports of held A/R to maximize
income opportunities
  • Update the status of the application in system databases and in Excel reports for accurate reporting
  • Work independently within the scope of responsibility and authority, understand and follow state
and payor requirements, some of which are quite complex, and determine which applications
require management approval or special processing requirements
  • Able to work with high-volume enrollments while multi-tasking and driving provider enrollments
through completion
  • Assist with the Enrollment Master Reports and track application submissions, re-validations and
re-enrollment for all providers and groups
  • Other duties as assigned.

KNOWLEDGE, EDUCATION, and SKILLS REQUIREMENTS:


  • Excellent analytical, organizational, and verbal/written communication skills
  • Demonstrated ability to communicate effectively with all stakeholders including physicians,
practice leadership, and third-party vendors
  • Strong telephone skills
  • Ability to manage multiple priorities with high attention to detail within a high-volume fast-paced
environment
  • Strong customer service orientation
  • Ability to use discretion appropriately and maintain confidentiality

WHAT WILL MAKE YOU AWESOME:


  • Working knowledge of provider and payer enrollment activities
  • Self-directed, and unafraid of challenging the status quo
  • Demonstrated teamwork skills and the ability to work with different teams, entities
  • Proficiency using Microsoft Office, such as Outlook, Word, Excel, and PowerPoint

About Midwest Vision Partners

Midwest Vision Partners was founded in 2019 to build a premier eye care platform in partnership with Alpine Investors, a San Francisco-based private equity firm. Alpine is a strong supporter of MVP, given their PeopleFirstâ„¢ philosophy, unparalleled track record, significant financial resources, and commitment to building a platform that includes physician leadership at the highest levels.

Headquartered in Chicago, our mission is to provide world-class support to ophthalmologists and optometrists, enabling them to focus on improving patients' vision to help people live their best lives. Today, MVP's network consists of 16 practices, 125 physicians, and roughly 1500 employees providing medical and surgical eye care services at over 60 locations throughout the Midwest. We strive to be the premier provider of eyecare in the Midwest through a culture of collaboration and excellence.

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