Provider Enrollment Coordinator [AQ-12335]

Aquent is partnering with a leading organization at the forefront of healthcare solutions, dedicated to transforming the health experience. This prominent entity leverages innovative technology and comprehensive services to enhance care delivery and improve patient outcomes. Joining their team means becoming part of an organization committed to excellence and making a tangible difference in the lives of many.

Are you a highly organized and detail-oriented individual ready to step into a pivotal role where your work directly impacts patient care? This is an exciting opportunity to make a significant impact by facilitating the essential processes that connect healthcare providers with the systems enabling patient care. Your expertise will directly contribute to the efficiency and accuracy of provider enrollment, playing a crucial role in the delivery of healthcare services by navigating complex regulatory landscapes, ensuring that physicians and groups are properly credentialed and integrated into essential healthcare programs. Your meticulous efforts will uphold the integrity of provider networks and powerfully support the overarching mission of delivering exceptional health services, directly influencing the accessibility and quality of patient care.

What You’ll Do

• Work effectively within a deadline-driven environment to process applications efficiently.
• Engage professionally with providers and staff to gather and provide necessary documentation.
• Strategically plan, prioritize, and organize tasks to meet established objectives and turnaround times.
• Monitor and follow up with providers to ensure timely submission of all required documents and applications.
• Assist in maintaining consistency and accuracy of data across various systems.
• Validate data for provider databases, ensuring compliance with business and system requirements for contracting, network management, and credentialing.
• Demonstrate in-depth knowledge of and execute all standard operating procedures, communicating issues, trends, and suggestions to leadership.
• Apply a thorough understanding of various payer applications and their associated workflow processes.
• Ensure all workflow items are completed within set turn-around-times while consistently meeting quality expectations.

Must-Have Qualifications

• 1-3 years of experience in a centralized credentialing office, with direct experience in provider enrollment, credentialing, or file maintenance.
• Proficiency in Microsoft Word and Excel.
• Knowledge of health plan and governmental payer credentialing, enrollment, and requirements, typically gained through a CPCS certification course or equivalent job-related experience, with an intent to pursue certification.
• Familiarity with federal and state healthcare enrollment applications.

Nice-to-Have Qualifications

• Experience with credentialing and enrollment software.
• Knowledge of industry accreditation standards interpretation.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands.

Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium.

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.

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