Payor and Provider Enrollment Coordinator

Education Qualifications:

Key Responsibilities:Responsible for organizations including applications and credentialing for various practitioner’s groups and specialties for which contracting services are providedCompletes audit of signed enrollment applications and required documentation for completeness and accuracyMaintains and updates all credentialing systems with current information for all physicians/providersResponsible for coordinating and maintaining all credentialing documents necessary to complete credentialing and re-credentialing of all physicians/providers/ facilities contracted with Essentia HealthActively participates in group leadership meetings and is accountable for presenting credentialing status for all groupsResolve problems, questions, and issues internally, as well as at the payor and the practiceCoordinates and facilitates troubleshooting with payor networks to resolve any issues related to enrollmentsActs as a liaison between Business/Revenue Services, Contracting, EPIC and PayorsEducational Requirements:High School Diploma plus previous work experience or educationRequired Qualifications:2 years’ experience in an office setting, preferably health care, insurance, or business servicesExperience researching issues, thinking critically, learning, and following processes, meeting multiple ongoing deadlines, and interpreting and understanding policies, rules and regulationsExtensive knowledge and experience with Excel, Outlook, Microsoft office products and software programs; shows ability to learn/use software programsExcellent verbal and written communication skills and attention to detailPreferred Qualifications:Experience with payer portals including CMS I&A, PECOS, MPSE, MMIS, Forward Health, CAQH, etc. preferred but not requiredProvider Enrollment Specialist Certificate (PESC) or ability to obtain within 6 months of employment