Midwest Startups
Provider Enrollment Coordinator
Midwest Startups, Chicago, Illinois, United States, 60290
Provider Enrollment Coordinator
Job Locations:
US | US-IL-Chicago | US-NJ-Mount Laurel TownshipID:
2024-1540Category:
Medical AffairsPosition Type:
Regular Full-TimeLocation Type:
RemoteSalary:
USD $21.00/Yr.Overview
We are Array Behavioral Care, an organization that envisions a world where loved ones never struggle to access behavioral health services that support their wellness. We are dedicated to making this vision a reality by focusing on our mission to transform access to quality behavioral care via hiring and retaining quality clinicians and innovative applications of technology.Array Behavioral Care serves hundreds of organizations and individuals in various settings across the continuum of care with its on-demand, scheduled services, and direct-to-consumer divisions. As an industry thought leader, Array Behavioral Care has helped shape the field, define the standard of care and advocate for improved telepsychiatry-friendly regulations.Position Summary:
Works with the medical affairs team and connects regularly to a national team of colleagues. This position is responsible for preparing, submitting and tracking credentialing applications and supporting documentation for the purpose of enrolling providers with payers. The provider enrollment coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.Responsibilities
Position Responsibilities:Ensure applicant eligibility by analyzing a provider’s profile and accompanying documents.Implement, coordinate and monitor provider enrollment and credentialing process for initial and re-credentialing applications.Work closely with provider to obtain missing documentation and/or signatures pertaining to enrollment.Confirm receipt of requested documents, identify and respond to issues that require additional investigation and evaluation, validate discrepancies with provider and facilitate process for payer participation.Perform timely follow-ups, maintain and update database on the status of application and to report to management and provider.Enter and maintain credentialing information into Array credentialing database and CAQH profile.Monitor documentation expiration dates and acquire the current and updated documentation.Respond to inquiries from other healthcare organizations, interface with internal and external credentialing issues as they arise for enrollment and contracting matters.Maintain and utilize the credentialing database to optimize efficiency, perform document generation, and track and report on applicant status.Assist medical affairs department with special projects.Other duties as assigned.Qualifications
Position Requirements:High School Diploma.Two years of credentialing experience.Outlook, Excel, PowerPoint and Word proficiency.Database management skills including querying, reporting and document generation.Ability to manage and impart confidential information.Independent worker.Organization and time management skills.Ability to multitask.Previous healthcare experience.Working knowledge of clinical and/or hospital operations and procedures.Knowledge of Medicare, Medicaid and commercial payer provider enrollment process.Knowledge of Symplr Credentialing Software.Knowledge of NCQA standards as it relates to credentialing and health plan enrollment.Strong verbal and written communication skills.Informational research skills.Position Logistics
100% remote position. Full-time employment. Reports to VP, Medical Affairs or Dir, Medical Affairs Implementations.FLSA Status: nonexempt, hourly.The salary range for this role is $21.00 to $25.00 per hour. This information reflects the anticipated salary for this position using current national data. The final offer will be determined based on an individual’s skills, experience, education, and other job-related factors permitted by law.At Array we strongly value diversity and are committed to equal opportunity and non-discrimination in all policies and practices, including the area of employment. We are proud to be an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, Veteran status, gender identity or expression, marital status, genetic information, or any other legally protected status.EOE M/V/F/D
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Job Locations:
US | US-IL-Chicago | US-NJ-Mount Laurel TownshipID:
2024-1540Category:
Medical AffairsPosition Type:
Regular Full-TimeLocation Type:
RemoteSalary:
USD $21.00/Yr.Overview
We are Array Behavioral Care, an organization that envisions a world where loved ones never struggle to access behavioral health services that support their wellness. We are dedicated to making this vision a reality by focusing on our mission to transform access to quality behavioral care via hiring and retaining quality clinicians and innovative applications of technology.Array Behavioral Care serves hundreds of organizations and individuals in various settings across the continuum of care with its on-demand, scheduled services, and direct-to-consumer divisions. As an industry thought leader, Array Behavioral Care has helped shape the field, define the standard of care and advocate for improved telepsychiatry-friendly regulations.Position Summary:
Works with the medical affairs team and connects regularly to a national team of colleagues. This position is responsible for preparing, submitting and tracking credentialing applications and supporting documentation for the purpose of enrolling providers with payers. The provider enrollment coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.Responsibilities
Position Responsibilities:Ensure applicant eligibility by analyzing a provider’s profile and accompanying documents.Implement, coordinate and monitor provider enrollment and credentialing process for initial and re-credentialing applications.Work closely with provider to obtain missing documentation and/or signatures pertaining to enrollment.Confirm receipt of requested documents, identify and respond to issues that require additional investigation and evaluation, validate discrepancies with provider and facilitate process for payer participation.Perform timely follow-ups, maintain and update database on the status of application and to report to management and provider.Enter and maintain credentialing information into Array credentialing database and CAQH profile.Monitor documentation expiration dates and acquire the current and updated documentation.Respond to inquiries from other healthcare organizations, interface with internal and external credentialing issues as they arise for enrollment and contracting matters.Maintain and utilize the credentialing database to optimize efficiency, perform document generation, and track and report on applicant status.Assist medical affairs department with special projects.Other duties as assigned.Qualifications
Position Requirements:High School Diploma.Two years of credentialing experience.Outlook, Excel, PowerPoint and Word proficiency.Database management skills including querying, reporting and document generation.Ability to manage and impart confidential information.Independent worker.Organization and time management skills.Ability to multitask.Previous healthcare experience.Working knowledge of clinical and/or hospital operations and procedures.Knowledge of Medicare, Medicaid and commercial payer provider enrollment process.Knowledge of Symplr Credentialing Software.Knowledge of NCQA standards as it relates to credentialing and health plan enrollment.Strong verbal and written communication skills.Informational research skills.Position Logistics
100% remote position. Full-time employment. Reports to VP, Medical Affairs or Dir, Medical Affairs Implementations.FLSA Status: nonexempt, hourly.The salary range for this role is $21.00 to $25.00 per hour. This information reflects the anticipated salary for this position using current national data. The final offer will be determined based on an individual’s skills, experience, education, and other job-related factors permitted by law.At Array we strongly value diversity and are committed to equal opportunity and non-discrimination in all policies and practices, including the area of employment. We are proud to be an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, Veteran status, gender identity or expression, marital status, genetic information, or any other legally protected status.EOE M/V/F/D
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