Pennsylvania Licensed Provider Enrollment Coordinator

To ensure timely and compliant enrollment of providers and facilities with various payers, the full-time Pennsylvania Licensed Provider Enrollment Coordinator will manage the enrollment process, maintain understanding of insurance requirements, and provide support for credentialing applications while working remotely. Key responsibilities: Prepare and submit government credentialing applications for enrolling and re-enrolling healthcare practitioners with Medicare, Medicaid, and other payers Coordinate with regional managed care staff to ensure timely enrollment of providers with contracted commercial payers Identify denial trends and collaborate with teams to facilitate root cause analysis and process improvements Required qualifications: High School Diploma or Equivalent (GED) required Minimum of 3 years of related work experience required Understanding of third-party payer requirements and enrollment processes Experience with maintaining compliance with state and federal regulations Knowledge of billing systems and technical resources related to enrollment