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Title
Text copied to clipboard!Provider Enrollment Coordinator
Description
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We are looking for a detail-oriented and organized Provider Enrollment Coordinator to join our healthcare administration team. In this role, you will be responsible for managing the enrollment and credentialing process for healthcare providers with various insurance payers and regulatory bodies. Your primary goal will be to ensure that all providers are properly enrolled and credentialed in a timely and accurate manner, enabling them to deliver care and receive reimbursement without delays.
As a Provider Enrollment Coordinator, you will work closely with providers, internal departments, and external agencies to gather necessary documentation, complete applications, and track the status of enrollments. You will also be responsible for maintaining accurate records, monitoring re-credentialing deadlines, and ensuring compliance with all applicable regulations and payer requirements.
This position requires strong communication skills, attention to detail, and the ability to manage multiple tasks simultaneously. You should be comfortable working in a fast-paced environment and have a solid understanding of healthcare operations, credentialing standards, and payer enrollment processes.
Key success factors for this role include the ability to build positive relationships with providers and stakeholders, a proactive approach to problem-solving, and a commitment to maintaining high standards of accuracy and confidentiality.
If you are passionate about supporting healthcare providers and ensuring seamless administrative operations, we encourage you to apply for this important role.
Responsibilities
Text copied to clipboard!- Coordinate and manage provider enrollment and credentialing processes.
- Complete and submit applications to insurance payers and regulatory agencies.
- Track application status and follow up to ensure timely approvals.
- Maintain accurate and up-to-date provider records and documentation.
- Monitor re-credentialing and revalidation deadlines.
- Communicate with providers to collect necessary information and documents.
- Ensure compliance with payer requirements and industry regulations.
- Collaborate with internal departments to support provider onboarding.
- Resolve enrollment issues and discrepancies promptly.
- Generate reports and maintain enrollment databases.
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate or bachelor’s degree preferred.
- 2+ years of experience in provider enrollment or healthcare administration.
- Knowledge of credentialing standards and payer enrollment processes.
- Strong organizational and time management skills.
- Excellent written and verbal communication abilities.
- Proficiency in Microsoft Office and enrollment software systems.
- Attention to detail and accuracy in data entry and documentation.
- Ability to handle confidential information with discretion.
- Problem-solving skills and ability to work independently.
- Familiarity with Medicare, Medicaid, and commercial insurance plans.
Potential interview questions
Text copied to clipboard!- How many years of experience do you have in provider enrollment?
- Are you familiar with Medicare and Medicaid enrollment processes?
- What credentialing software systems have you used?
- How do you ensure accuracy in documentation and data entry?
- Describe a time you resolved a complex enrollment issue.
- How do you prioritize tasks when managing multiple provider files?
- What steps do you take to stay compliant with payer requirements?
- Have you worked with commercial insurance payers before?
- How do you handle confidential provider information?
- What strategies do you use to meet tight enrollment deadlines?
