Provider Enrollment Coordinator

Trinity Health System

Medicare and medicaid enrollment applications
Ncqa standards and federal regulations knowledge
Managed care payer communication and denial resolution
The role is responsible for completing timely provider enrollment applications for various payers including Medicare, Medicaid, and commercial plans

Job Summary

  • The role is responsible for completing timely provider enrollment applications for various payers including Medicare, Medicaid, and commercial plans.
  • Candidates must maintain a working knowledge of federal, state, and local laws along with NCQA standards to ensure organizational integrity.
  • The position involves coordinating between payers and leadership to facilitate the resolution of claim denials and ensuring accurate provider data.

Matching Summary

The role is responsible for completing timely provider enrollment applications for various payers including Medicare, Medicaid, and commercial plans.

Skills & Requirements

Must-have

  • Medicare and Medicaid enrollment applications
  • NCQA standards and federal regulations knowledge
  • Managed care payer communication and denial resolution

Nice-to-have

  • Strong collaboration with internal departments
  • Flexibility in adapting to changing workloads
  • Positive empathic communication style

Key Requirements

  • Knowledge of applicable federal, state, and local laws
  • Understanding of NCQA standards and organizational policies
  • Experience with provider NPI maintenance and roster updates

Work Rights

Not specified

Tailored Resume

Cover Letter