Provider Enrollment Coordinator (Enrollment Coordinator)

Enrollment Process:

• Utilize Health Information Systems to analyze practitioner information and distribute credentialing packets.
• Perform data entry in federal and state enrollment systems, adhering to legal and regulatory requirements.
• Troubleshoot problem claims in EPIC work queues and maintain positive relations with insurance carriers.

File Maintenance:

• Collect and maintain provider documentation, licensure, and perform manual enrollment processes.
• Update and maintain practitioner and facility database as a central resource for the organization.
• Document and understand regulatory requirements for governmental and commercial payers.

Audits and Special Projects:

• Develop and update workflows to improve department operations and promote LEAN processes.
• Provide ad hoc reporting and participate in special claims correction projects.
• Perform other duties as assigned to support the team.